Organization
LONG ISLAND JEWISH MEDICAL CENTER AT HOME PHARMACY INC
Active
Other names
Vivo Health Pharmacy at Home
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA DRUMMOND (SVP, CHEIEF EXPENSE OFFICER)
(833) 868-8486
Entity
Organization
Contact information
Practice address
225 COMMUNITY DR STE 140, GREAT NECK, NY 11021-5506
(833) 868-8486
(516) 266-5332
Mailing address
1983 MARCUS AVE STE 118, NEW HYDE PARK, NY 11042-1016
(833) 868-8486
(516) 266-5332
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
035780
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2175155
PK
—
Enumeration date
12/27/2017
Last updated
02/13/2025
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