Organization
1219 FIRST AVENUE PHARMACY INC
Active
Other names
CHEMIST PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHBAZ NAWAZ (PRESIDENT)
(718) 779-1700
Entity
Organization
Contact information
Practice address
9330 43RD AVE, ELMHURST, NY 11373-5626
(718) 779-1700
(718) 779-1766
Mailing address
9330 43RD AVE, ELMHURST, NY 11373-5626
(718) 779-1700
(718) 779-1766
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
028122
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02994618
—
NY
01
—
3352527
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/06/2006
Last updated
03/15/2013
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