Organization
DVN DRUG CORP
Active
Other names
MAPLE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
NINA JOSHI (PHARMACIST)
(631) 265-4040
Entity
Organization
Contact information
Practice address
304 MAPLE AVE, SMITHTOWN, NY 11787-4913
(631) 265-4040
(631) 265-4071
Mailing address
304 MAPLE AVE, SMITHTOWN, NY 11787-4913
(631) 265-4040
(631) 265-4071
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
022174
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01492382
—
NY
01
—
2066180
PK
—
Enumeration date
08/31/2006
Last updated
08/14/2025
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