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Bb Myrtle Pharmacy Corp — NPI 1497909824, Staten Island, NY | NPI Central

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Bb Myrtle Pharmacy Corp

NPI 1497909824 · Long Term Care Pharmacy · Staten Island, NY

Provider details

NPI number: 1497909824
Entity type: Organization
Primary specialty: Long Term Care PharmacySuppliers
Organization subpart: No
Authorized official: Boris Natenzon, Ceo(718) 720-3710

Specialties & taxonomies

Long Term Care PharmacyPrimary3336L0003XLicense 029308 (NY)
Suppliers
Durable Medical Equipment & Medical Supplies332B00000X
Suppliers
Pharmacy333600000X
Suppliers

Practice location

141 Charles Ave

Staten Island, NY 10302-1624

Phone: (718) 720-5604

Fax: (718) 770-7687

Approximate (ZIP-level) locationGet directions

More NY providers

Mailing address

826 Forest Ave

Staten Island, NY 10310-2446

Other names (DBA / former)

Doing business as: Vitacare Pharmacy
Doing business as: Vitacare Pharmacy

Registry dates

Enumerated: 2008-11-12
Last updated: 2021-11-17
Certified: 2021-11-17

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.