Organization
PARK PLACE CHEMISTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MILLER PHARM D (SUPERVISING PHARMACIST)
(631) 324-6660
Entity
Organization
Contact information
Practice address
200 PANTIGO PL STE K, EAST HAMPTON, NY 11937-5923
(631) 324-6660
(631) 324-3515
Mailing address
200 PANTIGO PL STE K, EAST HAMPTON, NY 11937-5923
(631) 324-6660
(631) 324-3515
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00541057
—
NY
Enumeration date
05/24/2007
Last updated
08/05/2022
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