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NPI Code Detail

MEDICARE: CHRISTINE PATRICIA O'BOYLE RPH

MEDICARE: CHRISTINE PATRICIA O'BOYLE RPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist044480NY

General Provider Information

NPI Number : 1346425808
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE PATRICIA O'BOYLE RPH
Provider Business Mailing Address
First Line : 5 BISHOP CT
Second Line :
City : BETHPAGE
State : NY
Zip : 11714-2804
Country : US
Telephone Number : 516-942-5564
Fax Number :
Provider Business Practice Location Address
First Line : 391 W MAIN ST
Second Line :
City : HUNTINGTON
State : NY
Zip : 11743-3203
Country : US
Telephone Number : 631-549-9400
Fax Number : 631-549-1190
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2008
Last Update Date : 01/03/2008

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