Organization
MIEL PHARMACY CORP
Active
Other names
FAMILY DRUGSTORE
Organization subpart
No
Provider details
NPI number
Authorized official
IGOR MOSHCHINSKY (PRES)
(718) 759-9500
Entity
Organization
Contact information
Practice address
8617 5TH AVE, BROOKLYN, NY 11209-5201
(718) 759-9500
(718) 759-1411
Mailing address
8617 5TH AVE, BROOKLYN, NY 11209-5201
(718) 759-9500
(718) 759-1411
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
025984
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02393135
—
NY
01
—
2059858
PK
—
Enumeration date
10/07/2006
Last updated
04/17/2013
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