Shore Pharmaceutical Providers

NPI #1134441686 in Bellerose, New York

Provider Information

NPI Number
1134441686
Entity Type
Organization
Organization Name
Shore Pharmaceutical Providers
Subpart
Yes (part of a larger organization)
Parent Organization
OMNICAREESC LLC
Primary Specialty
Health Maintenance Organization
Enumeration Date
Feb 25, 2010
Last Updated
Mar 3, 2010

Practice Location

Address
24812 82ND AVE
ZIP Code
11426-2502
Phone
(718) 347-4844

Authorized Official

Name
MR. IVAN GORDON
Title
CEO
Phone
(516) 938-8080

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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