Organization
DESHI PHARMACY INC
Active
Other names
DESHI PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MONTAZ HASAN (PRES)
(718) 774-8702
Entity
Organization
Contact information
Practice address
46 STUART DR, SYOSSET, NY 11791-5125
(718) 774-8702
(718) 493-3785
Mailing address
46 STUART DR, SYOSSET, NY 11791-5125
(718) 774-8702
(718) 493-3785
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
017270
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00648339
—
NY
01
—
3372682
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
09/26/2006
Last updated
02/27/2013
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