Organization
LI SCRIPT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL SHAMALOV (PHARMACY DIRECTOR)
(631) 321-3850
Entity
Organization
Contact information
Practice address
333 CROSSWAYS PARK DR, WOODBURY, NY 11797-2066
(631) 321-3850
(631) 410-0229
Mailing address
333 CROSSWAYS PARK DR, WOODBURY, NY 11797-2066
(631) 321-3850
(631) 410-0229
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
02/20/2008
Last updated
08/04/2015
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