Organization
SOUND SHORE PHARMACY INC
Active
Other names
SOUND SHORE PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT SPIEL (PHARMACIST)
(914) 699-0235
Entity
Organization
Contact information
Practice address
107 W 4TH ST, MOUNT VERNON, NY 10550-4002
(914) 699-0235
(914) 699-3540
Mailing address
107 W 4TH ST, MOUNT VERNON, NY 10550-4002
(914) 699-0235
(914) 699-3540
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
023121
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01691950
—
NY
01
—
3318169
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/14/2005
Last updated
02/16/2012
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