Organization
OLD COUNTRY PHARMACY INC.
Active
Other names
PARKSIDE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEIL C DUBON RPH (SUPERVISING PHARMACIST)
(516) 270-3965
Entity
Organization
Contact information
Practice address
601 OLD COUNTRY RD, WESTBURY, NY 11590-4511
(516) 270-3965
(516) 502-6238
Mailing address
601 OLD COUNTRY RD, WESTBURY, NY 11590-4511
(516) 270-3965
(516) 502-6238
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
027854
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02808919
—
NY
Enumeration date
07/05/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us