Organization
ADUWA PHARMACY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAHEEL PERVEZ (PRESIDENT)
(718) 322-9709
Entity
Organization
Contact information
Practice address
114 10 SUTPHIN BLVD, JAMAICA, NY 11434
(718) 322-9709
(718) 322-5115
Mailing address
114 10 SUTPHIN BLVD, JAMAICA, NY 11434
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
023542
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02633392
—
NY
01
—
3336117
OTHER ID NUMBER
—
Enumeration date
02/27/2007
Last updated
05/28/2008
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