Organization
175 JERICHO PHARMACY CORP
Active
Other names
PILL CLOUD RX OF LONG ISLAND
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN TSADYK (PRESIDENT)
(516) 865-1151
Entity
Organization
Contact information
Practice address
175 JERICHO TPKE, WEST LOBBY SUITE, SYOSSET, NY 11791-4532
(516) 865-1151
(844) 440-2401
Mailing address
175 JERICHO TPKE LBBY SUITE, SYOSSET, NY 11791-4532
(516) 865-1151
(844) 440-2401
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
036613
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036613
BOARD OF PHARMACY
NY
Enumeration date
05/31/2018
Last updated
09/30/2024
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