Organization
JERICHO PHARMACY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP CHERIAN RPH (PRESIDENT)
(516) 934-0174
Entity
Organization
Contact information
Practice address
340 JERICHO TPKE, SYOSSET, NY 11791-4507
(516) 864-0020
(516) 864-0021
Mailing address
340 JERICHO TPKE, SYOSSET, NY 11791-4507
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
030920
NY
Other
Enumeration date
10/10/2011
Last updated
08/02/2012
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