CVS Pharmacy No. 05104
Name
CVS Pharmacy No. 05104
Director
Ray M King, Pharm.D.
Expiration Date
Phone Number
(631) 399-0324
UID (Facility ID - Site ID)
F361-0000
Site ID
0000
City
Manorville
CLIA Number
33D2261646
Street Address
496 County Rd 111 - Bldg C
State
NY
Zip Code
11949
County
Suffolk
Country
United States
Fax Number
(401) 652-9541
Primary Contact
Maria Medeiros
Contact Phone Number
(401) 770-1610
Certificate Type
WAIVER
Tests
COVID-19 ANTIGEN
Community Screening
Influenza
COVID-19 MOLECULAR
COVID-19 ANTIBODY
Facility ID
F361