| NPI | 1831483007 |
|---|---|
| Doing Business As | PATCHOGUE SUPERMARKETS LLC |
| Entity Type | Organization |
| Authorized Contact | MELISSA FIGUEROA RIVERA Third Party Administrator 732-521-8439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 030921) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2018-07-19 |