Southrifty Drug INC
NPI #1083717409 in Southampton, New York
Provider Information
- NPI Number
- 1083717409
- Entity Type
- Organization
- Organization Name
- Southrifty Drug INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Sep 7, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 54 JAGGER LANE
- City
- Southampton
- State
- New York
- ZIP Code
- 11968
- Phone
- (631) 283-1506
Authorized Official
- Name
- MR. ROBERT EMIL GRISNIK
- Title
- PRESIDENT/SUPERVISING PHARMACIST
- Phone
- (631) 283-1506
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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