Organization
DA VINCI'S APOTHECARY COMPOUNDING PHARMACY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY NOGUEIRA (PRESIDENT)
(516) 837-9777
Entity
Organization
Contact information
Practice address
142 MAIN ST, EAST ROCKAWAY, NY 11518-1702
(516) 837-9777
Mailing address
142 MAIN ST, EAST ROCKAWAY, NY 11518-1702
(516) 837-9777
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
030385
NY
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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