Healthcare Provider Details

I. General information

NPI: 1346425808
Provider Name (Legal Business Name): CHRISTINE PATRICIA O'BOYLE RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2008
Last Update Date: 01/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

391 W MAIN ST
HUNTINGTON NY
11743-3203
US

IV. Provider business mailing address

5 BISHOP CT
BETHPAGE NY
11714-2804
US

V. Phone/Fax

Practice location:
  • Phone: 631-549-9400
  • Fax: 631-549-1190
Mailing address:
  • Phone: 516-942-5564
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number044480
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: