Organization
MERRICK BLVD PHARMACY INC
Active
Parent organization
MERRICK PHARMACY BLVD INC
Other names
Merrick Specialty Pharmacy, Merrick Drugs
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERRICK PHARMACY BLVD INC
Authorized official
ABRAM YUSHUVAYEV (PRESIDENT)
(347) 561-9686
Entity
Organization
Contact information
Practice address
10950 MERRICK BLVD, JAMAICA, NY 11433-3056
(347) 561-9686
Mailing address
10950 MERRICK BLVD, JAMAICA, NY 11433-3056
(347) 561-9686
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
—
—
Other
Enumeration date
07/16/2020
Last updated
05/06/2021
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