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Organization
ZAMZAM PHARMACY INC
Active
Organization
ZAMZAM PHARMACY INC
Active
Other names
Zamzam Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
TARIQ SIDDIQUI (OWNER, PRESIDENT, AO)
(718) 401-6799
Entity
Organization
Contact information
Practice address
524 MORRIS AVE, BRONX, NY 10451-5536
(718) 401-6799
(718) 401-6794
Mailing address
524 MORRIS AVE, BRONX, NY 10451-5536
(718) 401-6799
(718) 401-6794
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
031333
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03485678
—
NY
01
—
2135773
PK
—
Enumeration date
06/25/2012
Last updated
03/28/2016
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