Organization
CONEY ISLAND CHEMIST INC
Active
Other names
Coney Island Chemist Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BAKAYEV (PRESIDENT, AO)
(347) 587-7200
Entity
Organization
Contact information
Practice address
2384 CONEY ISLAND AVE, BROOKLYN, NY 11223-5002
(347) 587-7200
(347) 587-7201
Mailing address
2384 CONEY ISLAND AVE, BROOKLYN, NY 11223-5002
(347) 587-7200
(347) 587-7201
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
035177
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04726330
—
NY
01
—
2167558
PK
—
Enumeration date
11/22/2016
Last updated
07/19/2018
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