Provider Demographics
NPI:1821656166
Name:WESTBURY DRUG CORP
Entity Type:Organization
Organization Name:WESTBURY DRUG CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RODSHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MALAKOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-333-7700
Mailing Address - Street 1:173 POST AVE
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-3100
Mailing Address - Country:US
Mailing Address - Phone:516-333-7700
Mailing Address - Fax:516-333-7702
Practice Address - Street 1:173 POST AVE
Practice Address - Street 2:
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-3100
Practice Address - Country:US
Practice Address - Phone:516-333-7700
Practice Address - Fax:516-333-7702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-02
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy