MEDICARE: MIL RUE CHEMISTS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy	008243	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871581298
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIL RUE CHEMISTS INC

Provider Business Mailing Address
First Line	:	6687 FRESH POND RD
Second Line	:
City	:	RIDGEWOOD
State	:	NY
Zip	:	11385-3948
Country	:	US
Telephone Number	:	718-821-3271
Fax Number	:	718-386-9777

Provider Business Practice Location Address
First Line	:	6687 FRESH POND RD
Second Line	:
City	:	RIDGEWOOD
State	:	NY
Zip	:	11385-3948
Country	:	US
Telephone Number	:	718-821-3271
Fax Number	:	718-386-9777

Authorized Official
Title or Position	:	PRESIDENT
Name	:	EDWARD C PETERS
Credential	:	RPH
Telephone Number	:	718-821-3271

Provider Enumeration Date	:	10/10/2005
Last Update Date	:	09/08/2025

Similar Medicare Providers

1689906083 — PETER W MAYO RPH
Practice Location Address:

66-87 FRESH POND ROAD , MIL-RUE CHEMISTS, INC.
RIDGEWOOD, NY
11385-3948

Practice Phone: 718-821-3271
Practice Fax: 718-386-9777

1124350525 — EDWARD C PETERS
Practice Location Address:

66-87 FRESH POND ROAD , MIL-RUE CHEMISTS, INC
RIDGEWOOD, NY
11385-3948

Practice Phone: 718-821-3271
Practice Fax: 718-386-9777

1003694357 — DR. GIOVANNI COMO JR. PHARMD
Practice Location Address:

6687 FRESH POND RD
RIDGEWOOD, NY
11385-3948

Practice Phone: 718-821-3271
Practice Fax:

1891646170 — GRIMALDI PSYCHOLOGICAL SERVICES, PLLC
Practice Location Address:

2025 PALMETTO ST APT 1L
RIDGEWOOD, NY
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Practice Phone: 646-543-1204
Practice Fax:

1508860388 — DR. LEO MEIZLIK D.D.S.
Practice Location Address:

7106 FRESH POND RD
RIDGEWOOD, NY
11385-5905

Practice Phone: 718-821-9292
Practice Fax:

1376541672 — DR. KAREN MARIE AGLIETTI DPM
Practice Location Address:

6412 FRESH POND RD
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11385-3331

Practice Phone: 718-497-3000
Practice Fax: 718-497-3335

Directions to “MIL RUE CHEMISTS INC ” Practice Location

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