Organization
ASL PHARMACY INC
Active
Other names
town drug
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN S MCQUADE (R.PH.)
(631) 266-3999
Entity
Organization
Contact information
Practice address
517 LARKFIELD RD STE A, EAST NORTHPORT, NY 11731-4208
(631) 266-3999
Mailing address
517 LARKFIELD RD STE A, EAST NORTHPORT, NY 11731-4208
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17073
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00637509
—
NY
Enumeration date
12/13/2006
Last updated
11/15/2007
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