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Organization
GREIS PARK SHOP INC
Active
Organization
GREIS PARK SHOP INC
Active
Other names
greis park pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL BORUKHOV (OWNER)
(917) 584-4030
Entity
Organization
Contact information
Practice address
602 MERRICK RD, LYNBROOK, NY 11563-2306
(516) 998-0011
Mailing address
602 MERRICK RD, LYNBROOK, NY 11563-2306
(516) 998-0011
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
333600000X
Pharmacy
Primary
—
NULL
3336C0003X
Community/Retail Pharmacy
—
NULL
Other
Enumeration date
04/07/2025
Last updated
08/04/2025
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