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Mr. Otto Nicholas Minerva, RPH
Pharmacist in Lake Ronkonkoma, New York
NPI 1932422144

Otto Nicholas Minerva is a Pharmacist based in Lake Ronkonkoma, NY. Otto Nicholas Minerva practices in Lake Ronkonkoma, NY and has the professional credentials of RPH. The NPI Number for Otto Nicholas Minerva is 1932422144 and holds a License No. 025590 (New York).

The current practice location address for Otto Nicholas Minerva is 407 Hawkins Avenue, Lake Ronkonkoma, NY and can be reached out via phone at 631-588-1590 and via fax at 631-588-7315.

Location: 407 Hawkins Avenue, Lake Ronkonkoma, NY, 11779-4239
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932422144
Provider Name
Otto Nicholas Minerva
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
407 Hawkins Avenue, Lake Ronkonkoma, NY, 11779-4239
Phone Number
631-588-1590
Fax Number
631-588-7315
Provider Enumeration Date
03/03/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
407 Hawkins Avenue
City
Lake Ronkonkoma
State
New York
Zip
11779-4239
Phone Number
631-588-1590
Fax Number
631-588-7315
person
Provider Business Mailing Address Details
Address
407 Hawkins Avenue
City
Lake Ronkonkoma
State
New York
Zip
11779-4239
Phone Number
631-588-1590
Fax Number
631-588-7315
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
025590 (New York)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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