Organization
BUONADONNA'S SHOPRITE LLC
Active
Other names
Buonadonna Shoprite LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA BUONADONNA (PRESIDENT)
(631) 666-7737
Entity
Organization
Contact information
Practice address
50-110 ROUTE 108, WEST BABYLON, NY 11704
(631) 587-3150
(631) 587-3128
Mailing address
64 RT 109, WEST BABYLON, NY 11704
(631) 587-2943
(631) 587-3128
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
029911
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02721002
—
NY
01
—
2064645
PK
—
Enumeration date
08/20/2006
Last updated
03/12/2018
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