Healthcare Provider Details

I. General information

NPI: 1396827309
Provider Name (Legal Business Name): BELLE HARBOR CHEMISTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 01/13/2025
Certification Date: 12/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

449 BEACH 129TH ST
BELLE HARBOR NY
11694-1516
US

IV. Provider business mailing address

449 BEACH 129TH ST
BELLE HARBOR NY
11694-1516
US

V. Phone/Fax

Practice location:
  • Phone: 718-634-0001
  • Fax: 718-634-5472
Mailing address:
  • Phone: 718-634-0001
  • Fax: 718-634-5472

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number023290
License Number StateNY

VIII. Authorized Official

Name: MR. MANASHIR ZARBAILOV SR.
Title or Position: PRESIDENT
Credential:
Phone: 718-634-0001