Organization
NEAB PHARMACY CORP
Active
Other names
same
Organization subpart
No
Provider details
NPI number
Authorized official
RAHEEL M PERVEZ (PRESIDENT)
(718) 341-0170
Entity
Organization
Contact information
Practice address
18901 LINDEN BLVD, ST.ALBANS, NY 11412
(718) 341-0170
(718) 341-1333
Mailing address
189-01 LINDEN BLVD, ST.ALBANS, NY 11412
(718) 341-0170
(718) 341-1333
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
022460
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02247872
—
NY
Enumeration date
02/28/2007
Last updated
04/08/2008
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