MEDISOURCE PHARMACY LLC

Pharmacy - Specialty Pharmacy

Active Organization
NPI: 1215197991

Practice Address

720 OLD COUNTRY RD
Plainview, NY 11803

Phone: (516) 605-0080

Specialties

Specialty Code Primary License
Pharmacy - Community/Retail Pharmacy 3336C0003X No -
Pharmacy - Specialty Pharmacy 3336S0011X Yes 028939 (NY)

Frequently Asked Questions

NPI 1215197991 is the National Provider Identifier for MEDISOURCE PHARMACY LLC, a Pharmacy - Specialty Pharmacy provider located in Plainview, NY. This NPI was enumerated on June 16, 2008.

Quick Facts

NPI
1215197991
Type
Organization
Enumerated
Jun 16, 2008
Last Updated
Jan 27, 2026

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