Organization
BASIN MIXTURES INC
Active
Other names
MILL LANE CHEMISTS
Organization subpart
No
Provider details
NPI number
Authorized official
HASSAN MUYIR (OWNER)
(718) 444-4749
Entity
Organization
Contact information
Practice address
6309 MILL LN, BROOKLYN, NY 11234-5512
(718) 444-4749
(718) 444-4376
Mailing address
6309 MILL LN, BROOKLYN, NY 11234-5512
(718) 444-4749
(718) 444-4376
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
037489
PHARMACY REGISTRATION
NY
Enumeration date
07/22/2019
Last updated
07/22/2019
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