| Suny At Stony Brook University Infirmary Pharmacy | |
|
1 Stadium Rd Stony Brook NY 11794-3191 | |
| (631) 632-6804 | |
| (631) 632-6936 |
| Full Name | Suny At Stony Brook University Infirmary Pharmacy |
|---|---|
| Speciality | Clinic/center |
| Location | 1 Stadium Rd, Stony Brook, New York |
| Authorized Official Name and Position | Sanjay Dave (SUPERVISING PHARMACIST) |
| Authorized Official Contact | 6316326804 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Suny At Stony Brook University Infirmary Pharmacy 1 Stadium Rd Stony Brook NY 11794-3191 Ph: (631) 632-6804 | Suny At Stony Brook University Infirmary Pharmacy 1 Stadium Rd Stony Brook NY 11794-3191 Ph: (631) 632-6804 |
| NPI Number | 1073633269 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 04/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073633269 | NPI | - | NPPES |
| 3357212 | Other | NY | NCPDP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 014702 (New York) | Primary |
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