Organization
DHAKA PHARMACY INC
Active
Other names
BROADWAY CORNER
Organization subpart
No
Provider details
NPI number
Authorized official
MAHMUD HOSSAIN (SUPERVISING PHARMACIST)
(718) 426-4727
Entity
Organization
Contact information
Practice address
4026 75TH ST, ELMHURST, NY 11373-1012
(718) 426-4727
(718) 426-4729
Mailing address
4026 75TH ST, ELMHURST, NY 11373-1012
(718) 426-4727
(718) 426-4729
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
031253
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5804972
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
04/10/2012
Last updated
07/23/2012
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