Old Town Pharmacy, Inc
Old Town Pharmacy, Inc is a Community/Retail Pharmacy in Staten Island, New York. Registered with an NPI since 2006.
- In the registry since
- 2006
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1250 Hylan Blvd Ste 3AStaten Island, NY 10305-1944
Phone: (718) 815-2600
Fax: (718) 815-2095
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X |
|---|
Record details
| NPI number | 1063574739 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Inna Ichtchenko — Prsident · (718) 815-2600 |
| NPI enumerated | December 15, 2006 |
| Last updated in NPPES | August 31, 2021 |
| Certification date | August 31, 2021 |
| Mailing address | 1250 Hylan Blvd, Staten Island, NY 10305-1943 |
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