OrganizationActive
Bardonia Pharmacy LLC
NPI 1306686613 · Long Term Care Pharmacy · Bardonia, NY
Provider details
- NPI number
- 1306686613
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- John Samuel, Owner/Supervising Pharmacist(845) 507-0555
Specialties & taxonomies
Suppliers
Practice location
301 Route 304 Ste 4
Bardonia, NY 10954-2146
Phone: (845) 507-0555
Fax: (845) 507-0012
Approximate (ZIP-level) locationGet directions
Mailing address
301 Route 304 Ste 4
Bardonia, NY 10954-2146
Registry dates
- Enumerated
- 2024-05-27
- Last updated
- 2024-05-27
- Certified
- 2024-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.