Organization
SHORE DRUGS INC.
Active
Other names
SHORE DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY LEON RPH (PRES)
(631) 665-3000
Entity
Organization
Contact information
Practice address
30 E MAIN ST, BAY SHORE, NY 11706-8301
(631) 665-3000
(631) 206-1246
Mailing address
30 E MAIN ST, BAY SHORE, NY 11706-8301
(631) 665-3000
(631) 206-1246
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
020657
NY
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01186878
—
NY
01
—
2066717
PK
—
Enumeration date
12/28/2006
Last updated
03/29/2017
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