Provider Demographics
NPI:1851104673
Name:CHILLPILL PHARMACY & SUPPLIES INC.
Entity type:Organization
Organization Name:CHILLPILL PHARMACY & SUPPLIES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARKIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BOROOCHOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-426-4516
Mailing Address - Street 1:20708 HOLLIS AVE
Mailing Address - Street 2:
Mailing Address - City:QUEENS VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11429-1430
Mailing Address - Country:US
Mailing Address - Phone:347-426-4516
Mailing Address - Fax:347-548-0014
Practice Address - Street 1:20708 HOLLIS AVE
Practice Address - Street 2:
Practice Address - City:QUEENS VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11429-1430
Practice Address - Country:US
Practice Address - Phone:347-426-4516
Practice Address - Fax:347-548-0014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy