| NPI | 1689003915 |
|---|---|
| Doing Business As | MERRICK BLVD PHARMACY |
| Entity Type | Organization |
| Authorized Contact | RAVI CHITTINEEDI Manager 718-528-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: NY 032637) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336L0003X Pharmacy, Long Term Care Pharmacy | |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2018-07-19 |