SOUTHSHORE PHARMACY,CORP
Pharmacy at Hylan Blvd, Staten Island, NY

License number
New York 029457
Category
Suppliers
Type
Pharmacy
Owner
Name: MR. PAVEL LERMAN
Title: PRISEDENT
Phone: (718) 948-4848
Address
Address
4020 Hylan Blvd, Staten Island, NY 10308
National Provider ID: 1417183518
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SOUTHSHORE PHARMACY CORP

4020 Hylan Blvd, Staten Island, NY 10308

Industry:
Drug Stores and Proprietary Stores, Ret Drugs/Sundries
Doing business as:
Southshore Pharmacy
Registration:
Feb 20, 2009
Phone:
(718) 948-4848 (Phone)
State ID:
3777189
Business type:
DOMESTIC BUSINESS CORPORATION
Principal, Prisedent:
Pavel Lerman (Principal, Prisedent), 4020 Hylan Blvd, Staten Island, NY 10308 (Physical)
Categories:
Drug Stores & Pharmacies

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