| NPI | 1942341805 |
|---|---|
| Doing Business As | COUNTY LINE PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RICHARD GAWRYSIAK President 631-249-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: NY 017498) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2024-03-11 |