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Organization
USHA PHARMACY INC
Active
Organization
USHA PHARMACY INC
Active
Other names
WIL MARK PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
VINOD SHAH (PHARMACIST)
(631) 586-0045
Entity
Organization
Contact information
Practice address
2120 DEER PARK AVE, DEER PARK, NY 11729-1306
(631) 586-0045
(631) 586-0048
Mailing address
2120 DEER PARK AVE, DEER PARK, NY 11729-1306
(631) 586-0045
(631) 586-0048
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
019594
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01047341
—
NY
01
—
3303714
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
07/06/2006
Last updated
06/08/2010
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