Provider Demographics
NPI:1922082346
Name:EVE AND MICHAEL PHARMACY INC.
Entity Type:Organization
Organization Name:EVE AND MICHAEL PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ALLA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIKHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:718-743-8585
Mailing Address - Street 1:552 SAINT MARKS AVE
Mailing Address - Street 2:STREET LEVEL
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-3753
Mailing Address - Country:US
Mailing Address - Phone:718-230-3321
Mailing Address - Fax:718-230-3383
Practice Address - Street 1:552 SAINT MARKS AVE
Practice Address - Street 2:STREET LEVEL
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238
Practice Address - Country:US
Practice Address - Phone:718-230-3321
Practice Address - Fax:718-230-3383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-30
Last Update Date:2014-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026000333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY5115140001Medicare NSC