Provider Demographics
NPI:1750056719
Name:ARCH PHARMACY INC
Entity Type:Organization
Organization Name:ARCH PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NISON
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKAYEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-898-1001
Mailing Address - Street 1:3261 85TH ST
Mailing Address - Street 2:
Mailing Address - City:EAST ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11370-2011
Mailing Address - Country:US
Mailing Address - Phone:718-898-1001
Mailing Address - Fax:718-898-1003
Practice Address - Street 1:3261 85TH ST
Practice Address - Street 2:
Practice Address - City:EAST ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11370-2011
Practice Address - Country:US
Practice Address - Phone:718-898-1001
Practice Address - Fax:718-898-1003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-12
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy