Organization
SALUMED PHARMACY INC
Active
Other names
SaluMed Pharmacy Brentwood
Organization subpart
No
Provider details
NPI number
Authorized official
TOMAS DIAZ BS (PRESIDENT)
(631) 299-0213
Entity
Organization
Contact information
Practice address
753 COMMACK RD, BRENTWOOD, NY 11717-7407
(631) 299-0213
(631) 299-0228
Mailing address
753 COMMACK RD, BRENTWOOD, NY 11717-7407
(631) 299-0213
(631) 299-0228
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
028890
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2117528
PK
—
05
—
3044135
—
NY
Enumeration date
10/08/2008
Last updated
02/17/2017
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