Provider Demographics
NPI:1730969759
Name:GLEN COVE DRUGS INC.
Entity type:Organization
Organization Name:GLEN COVE DRUGS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YURIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SEZANAYEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-283-5251
Mailing Address - Street 1:279 GLEN ST
Mailing Address - Street 2:
Mailing Address - City:GLEN COVE
Mailing Address - State:NY
Mailing Address - Zip Code:11542-3030
Mailing Address - Country:US
Mailing Address - Phone:516-283-5251
Mailing Address - Fax:516-283-5253
Practice Address - Street 1:279 GLEN ST
Practice Address - Street 2:
Practice Address - City:GLEN COVE
Practice Address - State:NY
Practice Address - Zip Code:11542-3030
Practice Address - Country:US
Practice Address - Phone:516-283-5251
Practice Address - Fax:516-283-5253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy