Organization
MAIN ST APOTHECARY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FURKAT NABIEV (PRESIDENT)
(917) 464-0006
Entity
Organization
Contact information
Practice address
153 MAIN ST STE B, STATEN ISLAND, NY 10307-1258
(917) 464-0006
(917) 580-6576
Mailing address
153 MAIN ST STE B, STATEN ISLAND, NY 10307-1258
(917) 464-0006
(917) 580-6576
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
09/16/2024
Last updated
07/21/2026
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