Old Country Pharmacy Inc

NPI 1255345005 - Pharmacy - 3336C0003X

NPI Details
NPI 1255345005
Enumeration Date 07/28/2006
Last Updated 02/24/2016
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MITCHEL MITCHEL
Position OWNER/PRESIDENT
Phone (516) 551-0775
Fax (516) 551-0775
Practice Location
10 HONEY LOCUST CT
DIX HILLS NY, 11746-6253, US
Phone (516) 551-0775
Fax (516) 551-0775
Business Location
601 OLD COUNTRY RD
WESTBURY NY, 11590-4511, US
Phone (516) 270-3965
Fax (516) 502-6238
Toxanomy
Taxonomy Code 3336C0003X
License State New York
License Number 027854
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According to our database, Old Country Pharmacy Inc NPI is 1255345005, taxonomy code is 3336C0003X and license number is 027854, license state is located at New York. Old Country Pharmacy Inc physically located at 10 Honey Locust Ct, Dix Hills NY, 11746-6253. NPI Number 1033115704 has the healthcare provider type.

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1255345005 NPI number is provided on an as is basis without warranty of any kind. 1255345005 is maintained by the National Plan & Provider Enumeration System. The contents of Old Country Pharmacy Inc are for informational purposes only.