Individual provider · Type 1 NPI

Shannon Tracy Constantine

Pharmacist · Eastport, NY

NPI number 1104008135 Active

Practice location

23 Eastport Manor Rd
Eastport, NY 11941-1410

Mailing address

4 Riviera Ct
Wading River, NY 11792-2338

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X045698 (NY)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

4 other providers at this address

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About NPI 1104008135

Shannon Tracy Constantine's National Provider Identifier is 1104008135, issued on Nov 30, 2007. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Eastport, NY. The record was last updated on Nov 30, 2007.