Organization
THALES WELL PHARMACY INC
Active
Other names
well care pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MANSOOR ALAM MALIK (PRESIDENT)
(631) 549-4900
Entity
Organization
Contact information
Practice address
1785 NEW YORK AVE, HUNTINGTON STATION, NY 11746-1727
(631) 549-4900
(631) 549-4197
Mailing address
1785 NEW YORK AVE, HUNTINGTON STATION, NY 11746-1727
(631) 549-4900
(631) 549-4197
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02640751
—
NY
Enumeration date
02/01/2007
Last updated
09/20/2007
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