Organization
CEDARHURST AVENUE PHARMACY
Active
Other names
SPENCER INC
Organization subpart
No
Provider details
NPI number
Authorized official
SUE PEPPER (OWNER PHARMACIST)
(516) 569-7588
Entity
Organization
Contact information
Practice address
123 CEDARHURST AVE, CEDARHURST, NY 11516-2128
(516) 569-7588
(516) 569-7570
Mailing address
123 CEDARHURST AVE, CEDARHURST, NY 11516-2128
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
024196
NY
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3304502
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
12/11/2006
Last updated
09/11/2025
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