Healthcare Provider Details

I. General information

NPI: 1669577433
Provider Name (Legal Business Name): D AND B PHARMACY CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 08/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 OAKRIDGE CMNS
SOUTH SALEM NY
10590-2437
US

IV. Provider business mailing address

PO BOX 765
NEW CITY NY
10956-0765
US

V. Phone/Fax

Practice location:
  • Phone: 914-533-5679
  • Fax: 914-533-5222
Mailing address:
  • Phone: 914-533-5679
  • Fax: 914-533-5222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number026096
License Number StateNY

VIII. Authorized Official

Name: PAUL ROLDAN
Title or Position: PRESIDENT
Credential: RPH
Phone: 914-533-5679