Organization
ELMHURST RX INC
Active
Other names
Fulton Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
IMRAN KAZMI (PRESIDENT)
(917) 449-0086
Entity
Organization
Contact information
Practice address
557 E 169TH ST, BRONX, NY 10456-2625
(347) 918-8700
(347) 918-8701
Mailing address
557 E 169TH ST, BRONX, NY 10456-2625
(347) 918-8700
(347) 918-8701
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
029136
NY
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2117617
PK
—
05
—
3064564
—
NY
Enumeration date
10/14/2008
Last updated
03/22/2017
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