Provider Demographics
NPI:1962873976
Name:ROCKY POINT PHARMACY INC
Entity type:Organization
Organization Name:ROCKY POINT PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SAGNIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BALBUENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-664-2880
Mailing Address - Street 1:245 ROUTE 25A
Mailing Address - Street 2:
Mailing Address - City:ROCKY POINT
Mailing Address - State:NY
Mailing Address - Zip Code:11778-8803
Mailing Address - Country:US
Mailing Address - Phone:631-744-1681
Mailing Address - Fax:
Practice Address - Street 1:245 ROUTE 25A
Practice Address - Street 2:
Practice Address - City:ROCKY POINT
Practice Address - State:NY
Practice Address - Zip Code:11778-8803
Practice Address - Country:US
Practice Address - Phone:631-744-1681
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-16
Last Update Date:2015-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy