Organization
MODERN CHEMIST LLC
Active
Other names
THE MODERN CHEMIST
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS URRIOLA (PHARMACIST/OWNER)
(718) 369-6100
Entity
Organization
Contact information
Practice address
189 7TH AVE, BROOKLYN, NY 11215-3013
(718) 369-6100
(718) 369-6101
Mailing address
189 7TH AVE, BROOKLYN, NY 11215-3013
(718) 369-6100
(718) 369-6101
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
029737
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3364267
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/18/2009
Last updated
01/28/2010
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