Organization Name: | OLD COUNTRY PHARMACY INC. |
NPI Number: | 1659579258 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NEIL C DUBON (SUPERVISING PHARMACIST) |
Mailing Address: | 601 Old Country Rd Westbury |
State: | NY US |
Postal Code: | 115904511 |
Phone Number: | 5162703965 |
Fax Number: | 5165026238 |
NPI Enumeration Date: | 07/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 027854 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |