Organization
NEWMOONPHARMACY INC
Active
Organization
NEWMOONPHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARRIS HUSSNAIN MASTER (PRESIDENT)
(718) 738-0302
Entity
Organization
Contact information
Practice address
109-14 LIBERTY AVENUE, 109-14 LIBRERTY AVENUE, RICHMOND HILL, NY 11419
(718) 738-0302
(718) 738-0303
Mailing address
10914 LIBERTY AVE, 109-14 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419-1704
(718) 738-0302
(718) 738-0303
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
17032657
NY
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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