Organization
KISSENA DRUGS AND SURGICAL SUPPLY INC
Active
Other names
KISSENA DRUGS
Organization subpart
No
Provider details
NPI number
Authorized official
PARVIN RAHMAN PHD AND RPH (OWNER)
(718) 793-7658
Entity
Organization
Contact information
Practice address
72 63 KISSENA BLVD, FLUSHING, NY 11367
(718) 793-7658
(718) 793-0576
Mailing address
72 63 KISSENA BLVD, FLUSHING, NY 11367
(718) 793-7658
(718) 793-0576
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
027116
NY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02618624
—
NY
01
—
3318513
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
01/25/2007
Last updated
06/02/2010
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