Healthcare Provider Details

I. General information

NPI: 1356726525
Provider Name (Legal Business Name): NATURE'S REMEDY RX INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2015
Last Update Date: 05/13/2024
Certification Date: 05/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

588 PLANDOME RD
MANHASSET NY
11030-1946
US

IV. Provider business mailing address

588 PLANDOME RD
MANHASSET NY
11030-1946
US

V. Phone/Fax

Practice location:
  • Phone: 516-439-4911
  • Fax: 516-439-4913
Mailing address:
  • Phone: 516-439-4911
  • Fax: 516-439-4913

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number033719
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: SANDRA TELESMANIC
Title or Position: PRESIDENT
Credential:
Phone: 516-439-4911