Organization
RAINDEW COVERT LTD
Active
Other names
RAINDEW PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ROCCO SFORZA RPH (SUPERVISING PHARMACIST)
(516) 354-1227
Entity
Organization
Contact information
Practice address
73 COVERT AVE, FLORAL PARK, NY 11001-3218
(516) 354-1227
(516) 354-0974
Mailing address
73 COVERT AVE, FLORAL PARK, NY 11001-3218
(516) 354-1227
(516) 354-0974
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
024257
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01906261
—
NY
01
—
2064452
PK
—
Enumeration date
07/30/2006
Last updated
11/29/2016
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