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Organization
WALL STREET SUPER CHEMISTS INC
Active
Organization
WALL STREET SUPER CHEMISTS INC
Active
Other names
sherwood pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
USMAN KHAN (PRESIDENT)
(718) 699-7700
Entity
Organization
Contact information
Practice address
9721 57TH AVE, CORONA, NY 11368-3540
(718) 699-7700
(718) 699-7222
Mailing address
9721 57TH AVE, CORONA, NY 11368-3540
(718) 699-7700
(718) 699-7222
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
029443
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3104652
—
NY
01
—
3362047
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/10/2009
Last updated
05/04/2012
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