Provider Demographics
NPI:1265288955
Name:BELLMORE PHARMACY INC
Entity type:Organization
Organization Name:BELLMORE PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SAURABH
Authorized Official - Middle Name:H
Authorized Official - Last Name:SHETH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:516-221-4022
Mailing Address - Street 1:111 BEDFORD AVE
Mailing Address - Street 2:
Mailing Address - City:BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-3526
Mailing Address - Country:US
Mailing Address - Phone:516-221-4022
Mailing Address - Fax:516-221-4029
Practice Address - Street 1:111 BEDFORD AVE
Practice Address - Street 2:
Practice Address - City:BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-3526
Practice Address - Country:US
Practice Address - Phone:516-221-4022
Practice Address - Fax:516-221-4029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-24
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy