Organization
MAK 92 INC.
Active
Other names
MAK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH NILES (SUPERVISING PHARMACIST)
(718) 480-6919
Entity
Organization
Contact information
Practice address
11112 ATLANTIC AVE, SOUTH RICHMOND HILL, NY 11419-1158
(718) 480-6919
(718) 480-6179
Mailing address
11112 ATLANTIC AVE, SOUTH RICHMOND HILL, NY 11419-1158
(718) 480-6919
(718) 480-6179
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/22/2020
Last updated
01/11/2024
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