| NPI | 1740387687 |
|---|---|
| Doing Business As | OCEANSIDE PHARMACY AND SUPER MARKET |
| Entity Type | Organization |
| Authorized Contact | FAZA L Mang 718-996-4949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 028446) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2017-01-18 |