Organization
MITAZ CORP
Active
Other names
All Care Pharmacy and Surgical
Organization subpart
No
Provider details
NPI number
Authorized official
MONIRUL ISLAM (SECRETARY)
(718) 510-7393
Entity
Organization
Contact information
Practice address
35-26/35-30 64TH ST, WOODSIDE, NY 11377
(718) 424-8825
(718) 424-8633
Mailing address
35-26/35-30 64TH ST, WOODSIDE, NY 11377
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
029396
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3360663
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/12/2009
Last updated
09/28/2010
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