Organization
ELMHURST PHARMACY & HOME INFUSION INC
Active
Other names
Elmhurst Pharmacy & Home Infusion
Organization subpart
No
Provider details
NPI number
Authorized official
WANAS KHALIL (OWNER)
(718) 507-2299
Entity
Organization
Contact information
Practice address
8106 BAXTER AVE, ELMHURST, NY 11373-1385
(718) 507-2299
(718) 507-2399
Mailing address
8106 BAXTER AVE, ELMHURST, NY 11373-1385
(718) 507-2299
(718) 507-2399
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
029988
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2125141
PK
—
05
—
3247427
—
NY
Enumeration date
05/17/2010
Last updated
03/01/2017
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