Provider Demographics
NPI:1700289980
Name:CHEMIST CORNER INC.
Entity Type:Organization
Organization Name:CHEMIST CORNER INC.
Other - Org Name:MEDEX MEDICINE EXPRESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ISRAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GOTTLIEB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-598-6721
Mailing Address - Street 1:59 ROUTE 59
Mailing Address - Street 2:
Mailing Address - City:MONSEY
Mailing Address - State:NY
Mailing Address - Zip Code:10952-3536
Mailing Address - Country:US
Mailing Address - Phone:845-425-3400
Mailing Address - Fax:845-213-4130
Practice Address - Street 1:59 ROUTE 59
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-3536
Practice Address - Country:US
Practice Address - Phone:845-425-3400
Practice Address - Fax:845-213-4130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-02
Last Update Date:2014-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY032790333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy