Individual provider · Type 1 NPI

Diana Keddis

Pharmacy · Staten Island, NY

NPI number 1447734330 Active

Practice location

252 Port Richmond Ave Ste B
Staten Island, NY 10302-1740

Mailing address

252 Port Richmond Ave
Staten Island, NY 10302-1749

Specialties and licenses

TaxonomyCodeLicense
Pharmacy Primary 333600000XNone listed

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

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About NPI 1447734330

Diana Keddis's National Provider Identifier is 1447734330, issued on Sep 18, 2018. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Staten Island, NY. The record was last updated on Sep 18, 2018.