Organization
CUSTOM CHEMISTS PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL ZINKOVSKY PHARMD (SUPERVISING PHARMACIST)
(516) 341-0500
Entity
Organization
Contact information
Practice address
127 SPRUCE ST UNIT A, CEDARHURST, NY 11516-1923
(516) 341-0500
(516) 341-0501
Mailing address
127 SPRUCE ST UNIT A, CEDARHURST, NY 11516-1923
(516) 341-0500
(516) 341-0501
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
030608
NY
3336C0004X
Compounding Pharmacy
030608
NY
Other
Enumeration date
07/22/2011
Last updated
07/22/2011
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