NPI 1104226844

David Nam, PHARMD

Practitioner Pharmacist Shirley, NY

Practice location

Address: 29 Havenwood Dr, Shirley, NY 11967-3901
Phone: (631) 395-4108

Registered specialties (2)

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 057436 (NY)

Other Pharmacist providers in New York →

Pharmacist

Pharmacy Service Providers Taxonomy 183500000X Licence 28RI03652700 (NJ)

Registry record

NPI: 1104226844
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Aug 2014
Record last updated: 31 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.