Organization
GREIS PARK SHOP INC
Active
Other names
greis park pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL BORUKHOV (OWNER)
(917) 584-4030
Entity
Organization
Contact information
Practice address
602 MERRICK RD, LYNBROOK, NY 11563-2306
(516) 998-0011
Mailing address
602 MERRICK RD, LYNBROOK, NY 11563-2306
(516) 998-0011
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Enumeration date
04/07/2025
Last updated
08/04/2025
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