Caljeb Pharmacy Corp

Organization Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · NPI 1275536864

Caljeb Pharmacy Corp is an Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Patchogue, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in: NY
In the registry since: 2005
Specialties on file: 4

What do these letters mean?

Corp — Corporation: A form of business registration, not a clinical qualification.

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Practice location Address checks out

747 Montauk Hwy
Patchogue, NY 11772
Phone: (631) 654-2444
Fax: (631) 654-1837

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary)	Taxonomy 3336C0003X · Licence 016177 (NY)
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy	Taxonomy 332800000X
Pharmacy	Taxonomy 333600000X
Specialty Pharmacy	Taxonomy 3336S0011X

Record details

NPI number	1275536864
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Patrick Fawcett — Ceo · (631) 654-2444
Other names	Lighthouse Pharmacy
NPI enumerated	May 27, 2005
Last updated in NPPES	March 24, 2017
Mailing address	747 Montauk Highway, Patchogue, NY 11772