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Organization

TOWN TOTAL BAYSIDE, LLC

Active
Other names
Town Total Health
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSEPH P. NAVARRA R.PH. (EXECUTIVE VICE PRESIDENT)
(212) 213-5570
Entity
Organization

Contact information

Practice address
2619 FRANCIS LEWIS BLVD, LOWER LEVEL, FLUSHING, NY 11358-1145
(718) 971-1344
(718) 971-1349
Mailing address
2619 FRANCIS LEWIS BLVD, LOWER LEVEL, FLUSHING, NY 11358-1145
(718) 971-1344
(718) 971-1349

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
029923
NY
3336C0003X
Community/Retail Pharmacy
029923
NY
3336S0011X
Specialty Pharmacy
029923
NY

Other

Enumeration date
12/24/2009
Last updated
12/24/2009
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