Organization
CHARMAR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GENNADIY MATATOV R.PH. (PRESIDENT)
(718) 822-1348
Entity
Organization
Contact information
Practice address
781 LYDIG AVE, BRONX, NY 10462-2144
(718) 822-1348
(718) 822-1792
Mailing address
781 LYDIG AVE, BRONX, NY 10462-2144
(718) 822-1348
(718) 822-1792
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
018707
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00902025
—
NY
Enumeration date
07/31/2006
Last updated
08/26/2022
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