Organization
CVS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEROME M WEXLER (SUPERVISING PHARMACIST)
(631) 246-8735
Entity
Organization
Contact information
Practice address
682 ROUTE 25A, EAST SETAUKET, NY 11733-1238
(631) 246-8735
Mailing address
682 ROUTE 25A, EAST SETAUKET, NY 11733-1238
(631) 246-8735
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
034318
NY
Other
Enumeration date
01/24/2008
Last updated
01/24/2008
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