Organization
CRESCENT CHEMIST INC
Active
Other names
Crescent Chemists
Organization subpart
No
Provider details
NPI number
Authorized official
MAURIZIO PRAINITO (SUPERVISING PHARMACIST)
(718) 383-3882
Entity
Organization
Contact information
Practice address
2412 34TH AVE, LONG ISLAND CITY, NY 11106-4320
(718) 383-3882
(718) 383-3886
Mailing address
2412 34TH AVE, LONG ISLAND CITY, NY 11106-4320
(718) 383-3882
(718) 383-3886
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
027312
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02672668
—
NY
01
—
2064727
PK
—
Enumeration date
10/30/2006
Last updated
05/01/2017
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