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Organization

AGUSTIN PHARMACY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. FRANK CAPPELLO RPH (SUPERVISING PHARMACIST)
(718) 937-8160
Entity
Organization

Contact information

Practice address
3920 29TH ST, LONG ISLAND CITY, NY 11101-3708
(718) 937-8160
(718) 937-8154
Mailing address
3920 29TH ST, LONG ISLAND CITY, NY 11101-3708
(718) 937-8160
(718) 937-8154

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
028110
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02966778
NY
Enumeration date
04/04/2007
Last updated
07/23/2009
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