Organization
INDEPENDENT OTC CORPORATION
Active
Other names
FRIENDLY DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK AMMIRATI (OWNER)
(631) 585-8585
Entity
Organization
Contact information
Practice address
1036 MAIN ST, HOLBROOK, NY 11741-1606
(631) 585-8585
(631) 585-8038
Mailing address
1036 MAIN ST, HOLBROOK, NY 11741-1606
(631) 585-8585
(631) 585-8038
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
024831
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02172443
—
NY
01
—
3300338
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/20/2006
Last updated
11/07/2011
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