Organization · Type 2 NPI

Paak Pharmacy Inc

Community/Retail Pharmacy · Patchogue, NY

NPI number 1780052001 Active

Practice location

689 Medford Ave
Patchogue, NY 11772-1347

Fax (631) 307-9360

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	033702 (NY)
Long Term Care Pharmacy	3336L0003X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

2 other providers at this address

Other community/retail pharmacy providers in Patchogue

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NPI record

NPI: 1780052001
Entity type: Organization (Type 2)
Issued: Sep 3, 2015
Last updated: Jan 27, 2021
Status: Active

Other names

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112 Pharmacy & Surgical · doing business as
112 Pharmacy & Surgical · doing business as

Authorized official

Rajendraprasad Venigalla
Secretary
(347) 528-8893

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1780052001

Paak Pharmacy Inc's National Provider Identifier is 1780052001, issued on Sep 3, 2015. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Patchogue, NY. The record was last updated on Jan 27, 2021.