Provider Demographics
NPI:1558015040
Name:FIRST CLASS PHARMACY CORP
Entity Type:Organization
Organization Name:FIRST CLASS PHARMACY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VYACHESLAV
Authorized Official - Middle Name:
Authorized Official - Last Name:GIRENKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:929-591-6355
Mailing Address - Street 1:24847 JERICHO TPKE
Mailing Address - Street 2:
Mailing Address - City:BELLEROSE
Mailing Address - State:NY
Mailing Address - Zip Code:11426-1912
Mailing Address - Country:US
Mailing Address - Phone:929-591-6355
Mailing Address - Fax:929-591-6456
Practice Address - Street 1:24847 JERICHO TPKE
Practice Address - Street 2:
Practice Address - City:BELLEROSE
Practice Address - State:NY
Practice Address - Zip Code:11426-1912
Practice Address - Country:US
Practice Address - Phone:929-591-6355
Practice Address - Fax:929-591-6456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-04
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies