Organization
BRIGHTWATER LABORATORIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD JAMES CANTALINO R.PH. (OWNER)
(516) 676-1135
Entity
Organization
Contact information
Practice address
2127 LAKELAND AVE UNIT 2, RONKONKOMA, NY 11779-7431
(516) 676-1135
(516) 676-1140
Mailing address
2127 LAKELAND AVE UNIT 2, RONKONKOMA, NY 11779-7431
(516) 676-1135
(516) 676-1140
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
12/21/2018
Last updated
12/21/2018
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