Organization Name: | HERITAGE CHEMISTS INC |
NPI Number: | 1093077281 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FRANK BOSIO (CEO) |
Mailing Address: | 150 Route 25a Mount Sinai |
State: | NY US |
Postal Code: | 117662002 |
Phone Number: | 6315094545 |
Fax Number: | 6315094554 |
NPI Enumeration Date: | 06/13/2012 |
NPI Last Update Date: | 03/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3336C0004X |
License Number: | 036686 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | Compounding Pharmacy |
Taxonomy Definition: | A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner |