Organization
LONG BEACH CHEMISTS INC
Active
Other names
LONG BEACH CHEMISTS
Organization subpart
No
Provider details
NPI number
Authorized official
BHANU GADDE (PRESIDENT)
(972) 898-2279
Entity
Organization
Contact information
Practice address
170 W PARK AVE, LONG BEACH, NY 11561-3317
(516) 431-0611
(516) 431-1218
Mailing address
170 W PARK AVE, LONG BEACH, NY 11561-3317
(516) 431-0611
(516) 431-1812
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
028010
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02760754
—
NY
01
—
2063747
PK
—
Enumeration date
10/03/2006
Last updated
03/17/2025
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