Provider Demographics
NPI:1437758141
Name:NORTH SHORE CHEMISTS LLC
Entity Type:Organization
Organization Name:NORTH SHORE CHEMISTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISING PHARMACIST/DIRECTOR OF
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:
Authorized Official - Last Name:ELASHVILI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH, MS
Authorized Official - Phone:917-328-9187
Mailing Address - Street 1:800 NORTHERN BLVD STE 4
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-5314
Mailing Address - Country:US
Mailing Address - Phone:516-460-8343
Mailing Address - Fax:516-460-8353
Practice Address - Street 1:800 NORTHERN BLVD STE 4
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5314
Practice Address - Country:US
Practice Address - Phone:516-460-8343
Practice Address - Fax:516-460-8353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-22
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy