# MYRTLE DRUGS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295017994
- **Authorized official:** DR. HOUSSAM A NASSER PHARM D (PRESIDENT)
- **Authorized official phone:** (347) 419-6737

## Contact information

- **Practice address:** 5518 MYRTLE AVE, RIDGEWOOD, NY 11385-3551
- **Practice address phone:** (718) 366-6171
- **Practice address fax:** (718) 366-6082
- **Mailing address:** 5518 MYRTLE AVE, RIDGEWOOD, NY 11385-3551
- **Mailing address phone:** (718) 366-6171
- **Mailing address fax:** (718) 366-6082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 17 030898 | NY | Yes |

## Other

- **Enumeration date:** 09/19/2011
- **Last updated:** 07/01/2013