# MERRICK BLVD PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MERRICK BLVD PHARMACY INC
- **Other names:** Merrick Drugs
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1124585203
- **Legal business name:** MERRICK BLVD PHARMACY INC
- **Authorized official:** ABRAM YUSHUVAYEV (PRESIDENT)
- **Authorized official phone:** (347) 561-9686

## Contact information

- **Practice address:** 10950 MERRICK BLVD, JAMAICA, NY 11433-3039
- **Practice address phone:** (347) 561-9540
- **Mailing address:** 10950 MERRICK BLVD, JAMAICA, NY 11433-3039
- **Mailing address phone:** (347) 561-9686

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 02/26/2019
- **Last updated:** 07/16/2020