Provider Demographics
NPI:1588844138
Name:NYCO CHEMISTS INC
Entity Type:Organization
Organization Name:NYCO CHEMISTS INC
Other - Org Name:BRIDGE APOTHECARY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOS
Authorized Official - Middle Name:
Authorized Official - Last Name:TSIOROS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-246-4100
Mailing Address - Street 1:104 JAY ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-1569
Mailing Address - Country:US
Mailing Address - Phone:718-246-4100
Mailing Address - Fax:718-246-2417
Practice Address - Street 1:104 JAY ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-1569
Practice Address - Country:US
Practice Address - Phone:718-246-4100
Practice Address - Fax:718-246-2417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-13
Last Update Date:2011-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0286143336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3355852OtherNCPDP PROVIDER IDENTIFICATION NUMBER