Provider Demographics
NPI:1255047965
Name:ONEHEALTH PHARMACY LLC
Entity type:Organization
Organization Name:ONEHEALTH PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FEDIDA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH, MS
Authorized Official - Phone:516-991-4600
Mailing Address - Street 1:226 N BELLE MEAD RD STE B
Mailing Address - Street 2:
Mailing Address - City:EAST SETAUKET
Mailing Address - State:NY
Mailing Address - Zip Code:11733-3524
Mailing Address - Country:US
Mailing Address - Phone:631-675-5173
Mailing Address - Fax:631-675-2609
Practice Address - Street 1:226 N BELLE MEAD RD STE B
Practice Address - Street 2:
Practice Address - City:EAST SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11733-3524
Practice Address - Country:US
Practice Address - Phone:631-675-5173
Practice Address - Fax:631-675-2609
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-26
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy