# NEAB PHARMACY CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** same
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518095900
- **Authorized official:** RAHEEL M PERVEZ (PRESIDENT)
- **Authorized official phone:** (718) 341-0170

## Contact information

- **Practice address:** 18901 LINDEN BLVD, ST.ALBANS, NY 11412
- **Practice address phone:** (718) 341-0170
- **Practice address fax:** (718) 341-1333
- **Mailing address:** 189-01 LINDEN BLVD, ST.ALBANS, NY 11412
- **Mailing address phone:** (718) 341-0170
- **Mailing address fax:** (718) 341-1333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 022460 | NY | Yes |

## Other

- **Enumeration date:** 02/28/2007
- **Last updated:** 04/08/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02247872 | — | NY |