SOUTHSHORE PHARMACY CORP. is a pharmacy in Staten Island, NY. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. SOUTHSHORE PHARMACY CORP. NPI is 1417183518. The provider is registered as an organization entity type.
The provider's business location address is:
4020 HYLAN BLVD
STATEN ISLAND, NY
ZIP 10308-331
Phone: (718) 948-4848
Fax: (718) 948-4899
The provider's authorized official is Mariya N Braginsky .
The authorized official title is Pic/owner and has the following contact phone number (718) 948-4848.
The CLIA number assigned to this NPI record is 33D2211715 - pharmacy with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/3/2009 and was last updated on 7/27/2021.