Organization
B R G CHEMISTS INC
Active
Other names
LAFAYETTE PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MARYELLEN MCLAUGHLIN (PRESIDENT)
(516) 746-0646
Entity
Organization
Contact information
Practice address
330 HILLSIDE AVE, WILLISTON PARK, NY 11596-2104
(516) 746-0646
(516) 742-8273
Mailing address
330 HILLSIDE AVE, WILLISTON PARK, NY 11596-2104
(516) 746-0646
(516) 742-8273
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
015586
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00397026
—
NY
01
—
3300061
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/02/2007
Last updated
11/18/2011
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