1386297141 NPI number — BASIN MIXTURES INC

Table of content: (NPI 1386297141)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386297141 NPI number — BASIN MIXTURES INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BASIN MIXTURES INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
MILL LANE CHEMISTS
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1386297141
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/22/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6309 MILL LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BROOKLYN
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11234-5512
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-444-4749
Provider Business Mailing Address Fax Number:
718-444-4376

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6309 MILL LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11234-5512
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-444-4749
Provider Business Practice Location Address Fax Number:
718-444-4376
Provider Enumeration Date:
07/22/2019

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MUYIR
Authorized Official First Name:
HASSAN
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
718-444-4749

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 333600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 3336C0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 037489 . This is a "PHARMACY REGISTRATION" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".