Country Village Pharmacy INC
NPI #1285762419 in East Islip, New York
Provider Information
- NPI Number
- 1285762419
- Entity Type
- Organization
- Organization Name
- Country Village Pharmacy INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Mar 1, 2007
- Last Updated
- Sep 13, 2007
Practice Location
- Address
- 242 E MAIN ST
- City
- East Islip
- State
- New York
- ZIP Code
- 11730-2712
- Phone
- (631) 581-7878
Authorized Official
- Name
- JACK TRUNCALE
- Title
- VP
- Phone
- (631) 581-7878
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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