Organization
RAINDEW PLANDOME PHARMACY LTD
Active
Other names
RAINDEW PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN BORDEMAN (OWNER)
(718) 762-8862
Entity
Organization
Contact information
Practice address
465 PLANDOME RD, MANHASSET, NY 11030-1942
(516) 627-8666
(516) 627-1768
Mailing address
465 PLANDOME RD, MANHASSET, NY 11030-1942
(516) 627-8666
(516) 627-1768
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
026642
NY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02551100
—
NY
01
—
2062740
PK
—
Enumeration date
09/30/2006
Last updated
09/19/2025
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