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Organization

DEER PARK SUPER DRUGS INC

Active
Other names
Deer Park Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
HENRY KAHN (PRESIDENT/PHARMACIST)
(631) 940-9472
Entity
Organization

Contact information

Practice address
1155 DEER PARK AVE, NORTH BABYLON, NY 11703-3105
(631) 940-9472
(631) 940-9477
Mailing address
1155 DEER PARK AVE, NORTH BABYLON, NY 11703-3105
(631) 940-9472
(631) 940-9477

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
3336C0003X
Community/Retail Pharmacy
Primary
030981
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5805429
NCPDP PROVIDER IDENTIFICATION NUMBER
Enumeration date
06/18/2012
Last updated
07/05/2012
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