Organization
ISLAND CHEMISTS INC
Active
Other names
MEADOW DRUGS AND SURGICAL
Organization subpart
No
Provider details
NPI number
Authorized official
RANDOLPH MOHABIR (PRESIDENT)
(516) 785-0120
Entity
Organization
Contact information
Practice address
353 NEWBRIDGE RD, EAST MEADOW, NY 11554-4120
(516) 785-0120
(516) 785-0715
Mailing address
353 NEWBRIDGE RD, EAST MEADOW, NY 11554-4120
(516) 785-0120
(516) 785-0715
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
028819
NY
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02958914
—
NY
01
—
3303966
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
10/27/2005
Last updated
12/20/2011
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