Organization
BENLY PHARMACY INC
Active
Other names
ISLIP PHARMACY AND SURGICAL
Organization subpart
No
Provider details
NPI number
Authorized official
BENNY MANGALATH (PRESIDENT)
(631) 581-8077
Entity
Organization
Contact information
Practice address
437 MAIN ST, ISLIP, NY 11751-3536
(631) 581-8077
(631) 581-7975
Mailing address
437 MAIN ST, ISLIP, NY 11751-3536
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
025146
NY
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02204704
—
NY
01
—
3323398
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
09/21/2006
Last updated
07/11/2008
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