Provider Demographics
NPI:1437661501
Name:COMMACK CHEMIST INC
Entity Type:Organization
Organization Name:COMMACK CHEMIST INC
Other - Org Name:LONG ISLAND APOTHECARY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-581-1037
Mailing Address - Street 1:6216 JERICHO TURNPIKE
Mailing Address - Street 2:
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725
Mailing Address - Country:US
Mailing Address - Phone:631-486-9172
Mailing Address - Fax:631-486-9176
Practice Address - Street 1:6216 JERICHO TURNPIKE
Practice Address - Street 2:
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725
Practice Address - Country:US
Practice Address - Phone:631-486-9172
Practice Address - Fax:631-486-9176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-30
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy