Organization
STATEN ISLAND PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICKY LEGAKIS PHARMD. (SUPERVISING PHARMACIST)
(718) 448-5200
Entity
Organization
Contact information
Practice address
1807 VICTORY BLVD, STATEN ISLAND, NY 10314-3515
(718) 448-5200
(718) 448-5311
Mailing address
1807 VICTORY BLVD, STATEN ISLAND, NY 10314-3515
(718) 448-5200
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03548143
—
NY
Enumeration date
12/23/2012
Last updated
01/31/2022
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