Organization
RX EXPRESS OF COMMACK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY EISENBERG (PRESIDENT)
(631) 543-3331
Entity
Organization
Contact information
Practice address
1163 JERICHO TPKE, COMMACK, NY 11725-3001
(631) 541-3331
(631) 543-3365
Mailing address
1163 JERICHO TPKE, COMMACK, NY 11725-3001
(631) 543-3331
(631) 653-3365
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
021724
NY
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01428362
—
NY
01
—
3334884
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
12/18/2006
Last updated
02/22/2010
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