Organization
COLOMBOS PHARMACY LLC
Active
Other names
COLOMBOS PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
VITO COLOMBO RPH (OWNER)
(718) 418-9700
Entity
Organization
Contact information
Practice address
75 51 METROPOLITAN AVE, MIDDLE VILLAGE, NY 11379
(718) 418-9700
(718) 418-7900
Mailing address
7551 METROPOLITAN AVE, MIDDLE VILLAGE, NY 11379-2638
(718) 418-9700
(718) 418-7900
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
025368
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02286253
—
NY
01
—
3326469
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/30/2006
Last updated
10/03/2011
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