Provider Demographics
NPI:1053179903
Name:HERITAGE CHEMISTS INC
Entity type:Organization
Organization Name:HERITAGE CHEMISTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PIC
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:BOSIO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:631-509-4545
Mailing Address - Street 1:148 ROUTE 25A
Mailing Address - Street 2:
Mailing Address - City:MOUNT SINAI
Mailing Address - State:NY
Mailing Address - Zip Code:11766-2002
Mailing Address - Country:US
Mailing Address - Phone:631-509-4545
Mailing Address - Fax:631-509-4554
Practice Address - Street 1:148 ROUTE 25A
Practice Address - Street 2:
Practice Address - City:MOUNT SINAI
Practice Address - State:NY
Practice Address - Zip Code:11766-2002
Practice Address - Country:US
Practice Address - Phone:631-509-4545
Practice Address - Fax:631-509-4554
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HERITAGE CHEMISTS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-03-06
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty