Organization
SA PHARMACY INC
Active
Other names
SA PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
SHABANA SAEED (PRESIDENT)
(917) 480-1488
Entity
Organization
Contact information
Practice address
2062 CLOVE RD, STATEN ISLAND, NY 10304-1650
(917) 830-1499
(917) 830-1488
Mailing address
2062 CLOVE RD, STATEN ISLAND, NY 10304-1650
(917) 480-1488
(917) 480-1492
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
034590
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2162437
PK
—
Enumeration date
07/26/2016
Last updated
11/08/2016
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