Organization
HERO DIRECT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD S GOULD (PRESIDENT)
(631) 586-4000
Entity
Organization
Contact information
Practice address
889 WAVERLY AVE, HOLTSVILLE, NY 11742-1109
(631) 586-4000
Mailing address
PO BOX 654, DEER PARK, NY 11729-0654
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
05/10/2010
Last updated
05/10/2010
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