Organization
CVS HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT JAMES CERTA PHARMD (PHARMACIST)
(516) 368-4728
Entity
Organization
Contact information
Practice address
201 GLEN ST, GLEN COVE, NY 11542-2734
(516) 671-1520
Mailing address
201 GLEN ST, GLEN COVE, NY 11542-2734
(516) 671-1520
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
059478
NY
Other
Enumeration date
11/28/2016
Last updated
11/28/2016
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