Organization
NSD PHARMACY CORP
Active
Other names
HICKSVILLE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
NAVJOT BAL (PHARMACIST/OWNER)
(516) 396-0608
Entity
Organization
Contact information
Practice address
495 S BROADWAY, HICKSVILLE, NY 11801-5040
(516) 396-0608
(516) 396-0609
Mailing address
495 S BROADWAY, HICKSVILLE, NY 11801-5040
(516) 396-0608
(516) 396-0609
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2177043
PK
—
Enumeration date
04/12/2018
Last updated
04/23/2018
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