| NPI | 1275536864 |
|---|---|
| Doing Business As | LIGHTHOUSE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | PATRICK FAWCETT CEO 631-654-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 016177) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2017-03-24 |