Amba Pharmacy Corp

NPI #1104807346 in Brentwood, New York

Provider Information

NPI Number: 1104807346
Entity Type: Organization
Organization Name: Amba Pharmacy Corp
Primary Specialty: Pharmacist
Enumeration Date: Nov 6, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 753 COMMACK RD
City: Brentwood
State: New York
ZIP Code: 11717-7407
Phone: (631) 665-8660

Authorized Official

Name: MR. BARRY GERSTEN, J.D.,RPH
Title: CEO
Phone: (631) 665-8660

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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