Organization
PHARM SOURCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FIRDOS MUKADUM (CEO)
(516) 710-9555
Entity
Organization
Contact information
Practice address
256 W OLD COUNTRY RD UNIT B, HICKSVILLE, NY 11801-4034
(516) 214-0255
Mailing address
256 W OLD COUNTRY RD UNIT B, HICKSVILLE, NY 11801-4034
(516) 214-0255
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/10/2020
Last updated
04/18/2024
About Stedi
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