Provider Demographics
NPI:1568095818
Name:LIN PHARMACY INC
Entity Type:Organization
Organization Name:LIN PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:YAKUBOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-722-4443
Mailing Address - Street 1:22404 LINDEN BLVD
Mailing Address - Street 2:
Mailing Address - City:CAMBRIA HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11411-1739
Mailing Address - Country:US
Mailing Address - Phone:347-722-4443
Mailing Address - Fax:347-528-5231
Practice Address - Street 1:22404 LINDEN BLVD
Practice Address - Street 2:
Practice Address - City:CAMBRIA HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11411-1739
Practice Address - Country:US
Practice Address - Phone:347-722-4443
Practice Address - Fax:347-528-5231
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MAKKI PHARMACY & SURGICAL INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-02-14
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy