# CHEMIST ON BAY INC

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

## Provider details

- **NPI number:** 1306568175
- **Authorized official:** DR. HUSAM FARHOUD PHARM D (SUPERVISING PHARMACIST)
- **Authorized official phone:** (347) 374-0430

## Contact information

- **Practice address:** 690 BAY ST, STATEN ISLAND, NY 10304-3890
- **Practice address phone:** (718) 374-5750
- **Practice address fax:** (718) 374-5751
- **Mailing address:** 127 CROAK AVE, STATEN ISLAND, NY 10314-5640
- **Mailing address phone:** (347) 374-0430

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 09/16/2022
- **Last updated:** 09/26/2022