| NPI | 1316001498 |
|---|---|
| Doing Business As | BETHPAGE MEDICAL PHARMACY |
| Entity Type | Organization |
| Authorized Contact | JEREMY BOIM President/Owner 516-796-4004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 029018) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2017-01-18 |