Organization
ROCKWAY COMMUNITY PHARMACY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDUL SIDDIQUI (PRESIDENT)
(516) 225-1252
Entity
Organization
Contact information
Practice address
4320 43RD AVE, SUNNYSIDE, NY 11104-2212
(718) 937-0890
Mailing address
75 HILLSIDE LN, NEW HYDE PARK, NY 11040-2505
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
17-031971
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17-031971
STATE LICENSE
NY
Enumeration date
05/28/2013
Last updated
05/28/2013
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