# EZ SUPER PHARMACY INC.

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

## Provider details

- **NPI number:** 1891937165
- **Authorized official:** MR. ABDUL R SAJID PRES. (PRESIDENT)
- **Authorized official phone:** (718) 992-1204

## Contact information

- **Practice address:** 3716 3RD AVE, BRONX, NY 10456-2103
- **Practice address phone:** (718) 992-1204
- **Practice address fax:** (718) 992-2501
- **Mailing address:** 37-16 3RD AVE., BRONX, NY 10456
- **Mailing address phone:** (718) 992-1204
- **Mailing address fax:** (718) 992-2501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 029343 | NY | Yes |

## Other

- **Enumeration date:** 04/01/2009
- **Last updated:** 04/01/2009