Bravo Super Pharmacy INC
NPI #1134550734 in Central Islip, New York
Provider Information
- NPI Number
- 1134550734
- Entity Type
- Organization
- Organization Name
- Bravo Super Pharmacy INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Dec 6, 2013
- Last Updated
- Jan 14, 2014
Practice Location
- Address
- 174 WHEELER RD
- City
- Central Islip
- State
- New York
- ZIP Code
- 11722-2027
- Phone
- (631) 761-6600
Authorized Official
- Name
- ASIF ALI
- Title
- PRESIDENT
- Phone
- (631) 413-6603
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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