Oprx #11776, LLC
NPI #1902567738 in Port Jefferson Station, New York
Provider Information
- NPI Number
- 1902567738
- Entity Type
- Organization
- Organization Name
- Oprx #11776, LLC
- Primary Specialty
- Pharmacy
- Enumeration Date
- Jan 4, 2022
- Last Updated
- Mar 25, 2024
Practice Location
- Address
- 4747 NESCONSET HWY UNIT 10
- State
- New York
- ZIP Code
- 11776-2866
- Phone
- (631) 474-7828
Authorized Official
- Name
- SARIT ROY
- Title
- AUTHORIZED OFFICIAL
- Phone
- (516) 876-0737
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Compounding Pharmacy — Compounding Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Durable Medical Equipment & Medical Supplies |
| Pharmacy |
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