# WISE PHARMACY LLC

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

## Provider details

- **NPI number:** 1790164374
- **Authorized official:** ADNAN SHAHID (PRESIDENT)
- **Authorized official phone:** (718) 978-6168

## Contact information

- **Practice address:** 189-01 LINDEN BLVD, SAINT ALBANS, NY 11412
- **Practice address phone:** (718) 978-6168
- **Mailing address:** 18901 LINDEN BLVD, SAINT ALBANS, NY 11412-3330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 033563 | NY | Yes |

## Other

- **Enumeration date:** 05/28/2015
- **Last updated:** 05/28/2015