Individual provider · Type 1 NPI

SM Eshwak Omam, PharmD

Pharmacist · Port Jefferson, NY

NPI number 1104461490 Active

Practice location

464 Main St
Port Jefferson, NY 11777-2814

Call (631) 473-2914 Map

Mailing address

30 Malone St
Hicksville, NY 11801-4627

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	066071 (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…

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About NPI 1104461490

SM Eshwak Omam, PharmD's National Provider Identifier is 1104461490, issued on Nov 11, 2019. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Port Jefferson, NY. The record was last updated on Nov 11, 2019.