| NPI | 1003359175 |
|---|---|
| Doing Business As | CONEY ISLAND CHEMIST INC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL BAKAYEV President, AO 347-587-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 035177) |
| Additional Taxonomies | 333600000X Pharmacy |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2018-07-19 |