Provider Demographics
NPI:1205014982
Name:NAVARETTA, REMI (PHARMD)
Entity Type:Individual
Prefix:
First Name:REMI
Middle Name:
Last Name:NAVARETTA
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 PATCHOGUE YAPHANK RD STE 30
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:NY
Mailing Address - Zip Code:11763-2235
Mailing Address - Country:US
Mailing Address - Phone:631-345-0255
Mailing Address - Fax:631-345-0441
Practice Address - Street 1:700 PATCHOGUE YAPHANK RD STE 30
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:NY
Practice Address - Zip Code:11763-2235
Practice Address - Country:US
Practice Address - Phone:631-345-0255
Practice Address - Fax:631-345-0441
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-05
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051204-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist