Organization
PRIYA PHARMACY LTD
Active
Other names
BAY VILLAGE DRUG AND SURGICAL
Organization subpart
No
Provider details
NPI number
Authorized official
JITENDRA PATEL RPH (PRESIDENT)
(631) 789-4447
Entity
Organization
Contact information
Practice address
357 BROADWAY, AMITYVILLE, NY 11701-2748
(631) 789-4447
(631) 789-4484
Mailing address
357 BROADWAY, AMITYVILLE, NY 11701-2748
(631) 789-4447
(631) 789-4484
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
021931
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01442011
—
NY
01
—
2063769
PK
—
Enumeration date
08/10/2006
Last updated
03/29/2016
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