Organization
BANANI ROAD 11 LLC
Active
Other names
Banani Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SHARMIN HAQ (OWNER)
(917) 531-8436
Entity
Organization
Contact information
Practice address
181-04 HILLSIDE AVE, JAMAICA, NY 11432
(718) 480-8700
(718) 480-1888
Mailing address
181-04 HILLSIDE AVE, JAMAICA, NY 11432
(718) 480-8700
(718) 480-1888
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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