=====================================================
General NPI Number Information
=====================================================
NPI Number | 1902627771
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HF PHARMACY CORP
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/23/2024
-----------------------------------------------------
Last Update Date | 10/23/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 68 W MAIN ST
-----------------------------------------------------
City | BABYLON
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11702-3409
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 516-852-3592
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 68 W MAIN ST
-----------------------------------------------------
City | BABYLON
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11702-3409
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 516-852-3592
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER / PHARMACY MANAGER
-----------------------------------------------------
Name | DANIEL CARL MARCELLO
-----------------------------------------------------
Credential | RPH
-----------------------------------------------------
Telephone | 516-852-3592
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336C0003X
-----------------------------------------------------
Taxonomy Name | Community/Retail Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------