Organization
BARAKA INC
Active
Other names
Express Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED ELADMA (OWNER)
(347) 691-3333
Entity
Organization
Contact information
Practice address
2088 WHITE PLAINS RD, BRONX, NY 10462-1412
(347) 691-3333
(347) 691-3332
Mailing address
2088 WHITE PLAINS RD, BRONX, NY 10462-1412
(347) 691-3333
(347) 691-3332
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
030997
NY
3336C0004X
Compounding Pharmacy
—
—
3336M0003X
Managed Care Organization Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03455401
—
NY
01
—
2133570
PK
—
Enumeration date
01/24/2012
Last updated
12/12/2014
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