Organization
CHARLIE'S FAMILY PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES LAQUIDARA (OWNER/PHARMACIST)
(516) 783-7979
Entity
Organization
Contact information
Practice address
3931 MERRICK RD, SEAFORD, NY 11783-2823
(516) 783-7979
(516) 783-6261
Mailing address
3931 MERRICK RD, SEAFORD, NY 11783-2823
(516) 783-7979
(516) 783-6261
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
023400
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01766238
—
NY
Enumeration date
09/02/2006
Last updated
02/19/2008
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