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Organization

PATCHOGUE PHARMACY, INC

Active
Other names
SaluMed Pharmacy Patchogue
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TOMAS DIAZ RPH (PRESIDENT)
(631) 438-8100
Entity
Organization

Contact information

Practice address
176 W MAIN ST, PATCHOGUE, NY 11772-3004
(631) 438-8100
(631) 438-0738
Mailing address
176 W MAIN ST, PATCHOGUE, NY 11772-3004
(631) 438-8100
(631) 438-0738

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
036707
NY

Other

Enumeration date
08/07/2013
Last updated
03/04/2014
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