Organization
BELLMORE PHARMACY INC
Active
Other names
KEEZAC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SAURABH SHETH RPH (OWNER/RPH)
(516) 221-4022
Entity
Organization
Contact information
Practice address
111 BEDFORD AVE, BELLMORE, NY 11710-3526
(516) 221-4022
(516) 221-4029
Mailing address
111 BEDFORD AVE, BELLMORE, NY 11710-3526
(516) 221-4022
(516) 221-4029
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
026500
NY
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02498199
—
NY
01
—
2066948
PK
—
Enumeration date
10/25/2006
Last updated
04/26/2022
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