Provider Demographics
NPI:1538336607
Name:CHALIK, SANA (PHARMACIST)
Entity type:Individual
Prefix:MRS
First Name:SANA
Middle Name:
Last Name:CHALIK
Suffix:
Gender:F
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1129 BRIGHTON BEACH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-5903
Mailing Address - Country:US
Mailing Address - Phone:718-646-0660
Mailing Address - Fax:347-587-6214
Practice Address - Street 1:1129 BRIGHTON BEACH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-5903
Practice Address - Country:US
Practice Address - Phone:718-646-0660
Practice Address - Fax:347-587-6214
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-08
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY045874183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist