Provider Demographics
NPI:1043076995
Name:MOSAIC PHARM INC.
Entity Type:Organization
Organization Name:MOSAIC PHARM INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL/PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEXANDROS
Authorized Official - Middle Name:
Authorized Official - Last Name:ARGYRIS
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:516-874-6807
Mailing Address - Street 1:400 S. OYSTER BAY RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-3500
Mailing Address - Country:US
Mailing Address - Phone:516-874-6807
Mailing Address - Fax:516-874-2806
Practice Address - Street 1:400 S. OYSTER BAY RD
Practice Address - Street 2:SUITE 101
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-3500
Practice Address - Country:US
Practice Address - Phone:516-874-6807
Practice Address - Fax:516-874-2806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-27
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy