Provider Demographics
NPI:1366125932
Name:SPECTRA PHARMACY INC.
Entity type:Organization
Organization Name:SPECTRA PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-528-2755
Mailing Address - Street 1:2926 NEWTOWN AVE
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11102-2297
Mailing Address - Country:US
Mailing Address - Phone:347-507-0113
Mailing Address - Fax:347-507-0114
Practice Address - Street 1:2926 NEWTOWN AVE
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11102-2297
Practice Address - Country:US
Practice Address - Phone:347-507-0113
Practice Address - Fax:347-507-0114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-10
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy