Provider Demographics
NPI:1013044114
Name:MERLIN CHEMISTS INC
Entity Type:Organization
Organization Name:MERLIN CHEMISTS INC
Other - Org Name:MERLIN CHEMISTS INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLOGUB
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:718-267-8900
Mailing Address - Street 1:14-53 31ST AVE,
Mailing Address - Street 2:UNIT C3
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11106-4573
Mailing Address - Country:US
Mailing Address - Phone:718-267-8900
Mailing Address - Fax:718-267-8912
Practice Address - Street 1:14-53 31ST AVE,
Practice Address - Street 2:UNIT C3
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11106-4573
Practice Address - Country:US
Practice Address - Phone:718-267-8900
Practice Address - Fax:718-267-8912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0269583336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02645756Medicaid
NY02645756Medicaid