# PARK CHEMISTS 4 AV LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PARK CHEMISTS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043076359
- **Authorized official:** GARY VALEVICH (OWNER)
- **Authorized official phone:** (917) 881-2970

## Contact information

- **Practice address:** 500 4TH AVE, BROOKLYN, NY 11215-4881
- **Practice address phone:** (718) 567-5444
- **Mailing address:** 500 4TH AVE, BROOKLYN, NY 11215-4881
- **Mailing address phone:** (718) 567-5444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 02/23/2024
- **Last updated:** 02/23/2024