# TMC 62 LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Modern Chemist
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346776838
- **Authorized official:** MR. CARLOS ENRIQUE URRIOLA (OWNER)
- **Authorized official phone:** (347) 689-2007

## Contact information

- **Practice address:** 62 WATER ST, BROOKLYN, NY 11201-1129
- **Practice address phone:** (347) 689-2007
- **Practice address fax:** (347) 294-4014
- **Mailing address:** 62 WATER ST, BROOKLYN, NY 11201-1129
- **Mailing address phone:** (347) 689-2007
- **Mailing address fax:** (347) 294-4014

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 035255 | NY | Yes |

## Other

- **Enumeration date:** 05/03/2017
- **Last updated:** 05/03/2017