Organization
BAISLEY PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAUD ANSARI BS (OWNER)
(516) 374-2930
Entity
Organization
Contact information
Practice address
16570 BAISLEY BLVD, JAMAICA, NY 11434-2517
(718) 528-2246
(718) 527-0406
Mailing address
16570 BAISLEY BLVD, JAMAICA, NY 11434-2517
(718) 528-2246
(718) 527-0460
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
039031
NY
3336C0003X
Community/Retail Pharmacy
Primary
021175
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01281025
—
NY
Enumeration date
01/19/2007
Last updated
11/04/2014
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