Organization
CXR HOSPITALITY TR
Active
Other names
Shelter Island Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL HERSHMAN (CEO)
(703) 609-0008
Entity
Organization
Contact information
Practice address
19 GRAND AVE, SHELTER ISLAND HEIGHTS, NY 11965-2000
(631) 749-0445
(631) 479-0649
Mailing address
9 W 57TH ST FL 30, NEW YORK, NY 10019-2701
(212) 715-0245
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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