# KVS PHARMACY INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Casson Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659356012
- **Authorized official:** MR. VASANT SHAH (PRESIDENT)
- **Authorized official phone:** (718) 464-7777

## Contact information

- **Practice address:** 112-10 SPRINGFIELD BLVD, QUEENS VILLAGE, NY 11429-2650
- **Practice address phone:** (718) 464-7777
- **Practice address fax:** (718) 776-0388
- **Mailing address:** 11210 SPRINGFIELD BLVD, QUEENS VILLAGE, NY 11429-2650
- **Mailing address phone:** (718) 464-7777
- **Mailing address fax:** (718) 776-0388

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 025109 | NY | Yes |

## Other

- **Enumeration date:** 12/08/2005
- **Last updated:** 10/23/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02143020 | — | NY |