Provider Demographics
NPI:1376609453
Name:ARCHINA, JOSEPH S (PHARMACIST)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:S
Last Name:ARCHINA
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 CENTRAL PARK AVE APT F9
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-1334
Mailing Address - Country:US
Mailing Address - Phone:914-831-1903
Mailing Address - Fax:
Practice Address - Street 1:211 E HARTSDALE AVE
Practice Address - Street 2:
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530-3502
Practice Address - Country:US
Practice Address - Phone:914-723-2847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY042074183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist