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Organization
MEDFORD CHEMISTS INC.
Active
Organization
MEDFORD CHEMISTS INC.
Active
Other names
Medford Chemists Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL KOLLER (VPF)
(631) 475-4141
Entity
Organization
Contact information
Practice address
2608 ROUTE 112, MEDFORD, NY 11763-2551
(631) 475-4476
(631) 475-4288
Mailing address
2608 ROUTE 112, MEDFORD, NY 11763-2551
(631) 475-4476
(631) 475-4288
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
011254
NY
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00265669
—
NY
01
—
2061462
PK
—
Enumeration date
07/09/2006
Last updated
02/13/2026
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