Organization
ST. MARY'S HOSPITAL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FREDERIQUE ALTIDOR (MANAGER)
(718) 281-8688
Entity
Organization
Contact information
Practice address
2901 216TH ST, BAYSIDE, NY 11360-2810
(718) 281-8799
(516) 570-4099
Mailing address
2901 216TH ST, BAYSIDE, NY 11360-2810
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
00199599
NY
Other
Enumeration date
09/07/2010
Last updated
01/19/2011
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