Sand Lane Pharmacy

NPI #1063401651 in Staten Island, New York

Provider Information

NPI Number: 1063401651
Entity Type: Organization
Organization Name: Sand Lane Pharmacy
Primary Specialty: Pharmacist
Enumeration Date: Oct 17, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 333 SAND LN
City: Staten Island
State: New York
ZIP Code: 10305-4500
Phone: (718) 556-3330

Authorized Official

Name: MR. BORIS NATENZON, RPH
Title: VICE PRESIDENT
Phone: (718) 556-3330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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