Medical Group Pharmacy INC
NPI #1306941380 in Lake Ronkonkoma, New York
Provider Information
- NPI Number
- 1306941380
- Entity Type
- Organization
- Organization Name
- Medical Group Pharmacy INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Sep 14, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 650 HAWKINS AVE
- City
- Lake Ronkonkoma
- State
- New York
- ZIP Code
- 11779-2366
- Phone
- (631) 588-8582
Authorized Official
- Name
- MR. PAUL AUTLER, RPH
- Title
- SUPERVISING PHARMACIST
- Phone
- (631) 588-8582
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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