Provider Demographics
NPI:1700670692
Name:182 AVE CHEMISTS INC
Entity type:Organization
Organization Name:182 AVE CHEMISTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GAVRIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:IBRAGIMOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-238-1398
Mailing Address - Street 1:18235 JAMAICA AVE
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11423-2329
Mailing Address - Country:US
Mailing Address - Phone:347-238-1398
Mailing Address - Fax:347-238-1368
Practice Address - Street 1:18235 JAMAICA AVE
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11423-2329
Practice Address - Country:US
Practice Address - Phone:347-238-1398
Practice Address - Fax:347-238-1368
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy