Organization
PRIME HEALTH INC
Active
Other names
The Chemist Shop
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH GALLO (PRESIDENT/SUPERVISING PHARMACI)
(718) 472-0900
Entity
Organization
Contact information
Practice address
3015 38TH AVE, LONG ISLAND CITY, NY 11101-2609
(718) 472-0900
(718) 472-0909
Mailing address
3015 38TH AVE, LONG ISLAND CITY, NY 11101-2609
(718) 472-0900
(718) 472-0909
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
030754
NY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03368467
—
NY
01
—
2131265
PK
—
Enumeration date
07/21/2011
Last updated
07/21/2016
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