Organization
SAN REMO PHARMACY INC
Active
Other names
Bay pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BENNY MANGALATH (PRESIDENT,AO)
(631) 665-2229
Entity
Organization
Contact information
Practice address
603 E MAIN ST UNIT C, BAY SHORE, NY 11706-8505
(631) 665-2229
(631) 665-7229
Mailing address
603 E MAIN ST UNIT C, BAY SHORE, NY 11706-8505
(631) 665-2229
(631) 665-7229
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
034249
NY
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157731
PK
—
Enumeration date
01/29/2016
Last updated
09/19/2025
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