Organization
LINDA DEPT STORE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REEMON BANBAHJI (PRESIDENT)
(718) 585-5005
Entity
Organization
Contact information
Practice address
438 E 149TH ST, BRONX, NY 10455-1304
(718) 585-5005
(718) 585-6701
Mailing address
438 E 149TH ST, BRONX, NY 10455-1304
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
027409
NY
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3350078
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
07/30/2006
Last updated
09/11/2025
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