# MAIN ST APOTHECARY INC.

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

## Provider details

- **NPI number:** 1578390324
- **Authorized official:** FURKAT NABIEV (PRESIDENT)
- **Authorized official phone:** (917) 464-0006

## Contact information

- **Practice address:** 153 MAIN ST STE B, STATEN ISLAND, NY 10307-1258
- **Practice address phone:** (917) 464-0006
- **Practice address fax:** (917) 580-6576
- **Mailing address:** 153 MAIN ST STE B, STATEN ISLAND, NY 10307-1258
- **Mailing address phone:** (917) 464-0006
- **Mailing address fax:** (917) 580-6576

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/16/2024
- **Last updated:** 07/21/2026