Organization
CVS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT ORCEL (PHARMACY SUPERVISOR)
(631) 398-0007
Entity
Organization
Contact information
Practice address
1140 OLD COUNTRY RD, RIVERHEAD, NY 11901-2073
(631) 727-9000
Mailing address
134 BAYVILLE AVE, BAYVILLE, NY 11709-1606
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
047887
NY
Other
Enumeration date
02/28/2010
Last updated
02/28/2010
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