Organization
JOHN T MATHER MEMORIAL HOSPITAL
Active
Other names
MATHER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE L CUSACK (EVP & CFO)
(516) 321-6058
Entity
Organization
Contact information
Practice address
75 N COUNTRY RD FL 2, PORT JEFFERSON, NY 11777-2119
(516) 256-6688
Mailing address
75 N COUNTRY RD FL 2, PORT JEFFERSON, NY 11777-2119
(516) 256-6688
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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