Organization
AUSTIN CHEMISTS INC
Active
Other names
Austin Chemists inc
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MUSHEYEV (V.P)
(917) 554-6065
Entity
Organization
Contact information
Practice address
5123B QUEENS BLVD, WOODSIDE, NY 11377-4539
(718) 806-1237
(718) 806-1240
Mailing address
5123B QUEENS BLVD, WOODSIDE, NY 11377
(718) 806-1237
(718) 806-1240
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
030483
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3317200
—
NY
01
—
5801990
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/21/2010
Last updated
02/15/2012
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