Provider Demographics
NPI:1265855571
Name:BARTHS OF EAST QUOGUE INC.
Entity Type:Organization
Organization Name:BARTHS OF EAST QUOGUE INC.
Other - Org Name:BARTHS PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:LOU
Authorized Official - Middle Name:
Authorized Official - Last Name:CASSARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-653-3784
Mailing Address - Street 1:424 MONTAUK HWY
Mailing Address - Street 2:
Mailing Address - City:EAST QUOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11942-3943
Mailing Address - Country:US
Mailing Address - Phone:631-653-3784
Mailing Address - Fax:631-653-3799
Practice Address - Street 1:424 MONTAUK HWY
Practice Address - Street 2:
Practice Address - City:EAST QUOGUE
Practice Address - State:NY
Practice Address - Zip Code:11942-3943
Practice Address - Country:US
Practice Address - Phone:631-653-3784
Practice Address - Fax:631-653-3799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-23
Last Update Date:2014-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0325173336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy