| NPI | 1174534739 |
|---|---|
| Doing Business As | BRENTWOOD PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DIGESH THAKER Rx Mngr 631-273-3314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 017492) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2025-09-19 |