Organization
PORT CHEMIST INC
Active
Other names
PORT CHEMIST
Organization subpart
No
Provider details
NPI number
Authorized official
ZORAYA POD (OWNER)
(516) 883-3837
Entity
Organization
Contact information
Practice address
4 AND 4A MANORHAVEN BLVD, PORT WASHINGTON, NY 11050
(516) 883-3837
(516) 883-3879
Mailing address
4 AND 4A MANORHAVEN BLVD, PORT WASHINGTON, NY 11050
(516) 883-3837
(516) 883-3879
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
028352
NY
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
028352
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02492157
—
NY
01
—
3308536
OTHER ID NUMBER
—
Enumeration date
03/13/2007
Last updated
02/21/2008
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