# WOODHAVEN CHEMIST CORP.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144038803
- **Authorized official:** IGOR MATATOV (SUPERVISING PHARMACIST)
- **Authorized official phone:** (347) 836-3966

## Contact information

- **Practice address:** 8622 JAMAICA AVE, WOODHAVEN, NY 11421-2005
- **Practice address phone:** (718) 441-7111
- **Mailing address:** 8622 JAMAICA AVE, WOODHAVEN, NY 11421-2005
- **Mailing address phone:** (718) 441-7111

## Taxonomy

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

## Other

- **Enumeration date:** 12/26/2024
- **Last updated:** 12/26/2024