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General NPI Number Information
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NPI Number | 1922862572
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Entity Type | Organization
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Legal Business Name | ST. CHARLES HOSPITAL AND REHAB. PHARMACY
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Dates
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Enumeration Date | 02/13/2024
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Last Update Date | 11/25/2024
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Provider Practice Location Address
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Address Line | 2112 MIDDLE COUNTRY RD # P100
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City | CENTEREACH
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State | NY
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Zip | 11720-3519
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Country | US
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Telephone | 516-207-7007
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Fax |
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Provider Business Mailing Address
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Address Line | 992 N VILLAGE AVE
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-1002
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VP PHARMACY
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Name | NASSER SAAD
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Credential | PHARM. D
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Telephone | 516-705-2910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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