Organization
TMC 62 LLC
Active
Other names
The Modern Chemist
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS ENRIQUE URRIOLA (OWNER)
(347) 689-2007
Entity
Organization
Contact information
Practice address
62 WATER ST, BROOKLYN, NY 11201-1129
(347) 689-2007
(347) 294-4014
Mailing address
62 WATER ST, BROOKLYN, NY 11201-1129
(347) 689-2007
(347) 294-4014
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
035255
NY
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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