Organization
BARKERS PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEMETRIOS MICHAELIDES (OWNER SUPERVISING PHARMACIST)
(631) 298-8666
Entity
Organization
Contact information
Practice address
195 LOVE LANE, MATTITUCK, NY 11952-0989
(631) 298-8666
(631) 298-5616
Mailing address
PO BOX 1443, 195 LOVE LANE, MATTITUCK, NY 11952-0989
(631) 298-8666
(631) 298-5616
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
006613
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00623818
—
NY
01
—
3335862
NCPDP
NY
Enumeration date
02/09/2007
Last updated
06/13/2008
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