Organization
47TH STREET ENTERPRISE LLC
Active
Other names
Expressway Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
HASSAN MUYIR (OWNER/PHARMACIST)
(718) 439-1570
Entity
Organization
Contact information
Practice address
4620 3RD AVE, BROOKLYN, NY 11220-1034
(718) 439-1570
(718) 439-1567
Mailing address
4620 3RD AVE, BROOKLYN, NY 11220-1034
(718) 439-1570
(718) 439-1567
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
Primary
032141
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03892660
—
NY
01
—
2176597
PK
—
Enumeration date
03/26/2018
Last updated
03/26/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
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