| NPI | 1265455257 |
|---|---|
| Doing Business As | MARIA REGINA CONVENT PHARMACY |
| Entity Type | Organization |
| Authorized Contact | THOMAS TWOMEY Pharmacy Mgr 631-299-3029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 333600000X Pharmacy (Licence: NY 013318) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2008-09-29 |