Organization
NILE CITY PHARMACY INC
Active
Other names
NILE CITY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD S HASSAN (OWNER/PRESIDENT)
(718) 685-2880
Entity
Organization
Contact information
Practice address
4010 25TH AVE, ASTORIA, NY 11103
(718) 685-2880
(718) 685-2826
Mailing address
4010 25TH AVE, LONG ISLAND CITY, NY 11103-3602
(718) 685-2880
(718) 685-2826
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
036045
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2175584
PK
—
Enumeration date
11/15/2017
Last updated
06/26/2018
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