# T&N PHARMACY INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** T & N Pharmacy Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902136500
- **Authorized official:** TEIMURAZ BALACHVILI (PRESIDENT/SP)
- **Authorized official phone:** (917) 416-4395

## Contact information

- **Practice address:** 2570 E 17TH ST, BROOKLYN, NY 11235-3505
- **Practice address phone:** (718) 646-2100
- **Practice address fax:** (718) 646-2101
- **Mailing address:** 2570 E 17TH ST, BROOKLYN, NY 11235-3505
- **Mailing address phone:** (718) 646-2100
- **Mailing address fax:** (718) 646-2101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 029829 | NY | Yes |

## Other

- **Enumeration date:** 01/04/2010
- **Last updated:** 09/20/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3363885 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |