Organization
METROHEALTH PHARMACY LLC
Active
Other names
METROHEALTH PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ASHRAF BADR (MEMBER/MANAGER)
(321) 438-0129
Entity
Organization
Contact information
Practice address
5543 MYRTLE AVE, RIDGEWOOD, NY 11385-3503
(347) 889-7086
(347) 889-7089
Mailing address
5543 MYRTLE AVE, RIDGEWOOD, NY 11385-3503
(407) 668-4945
(407) 704-1469
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
030979
NY
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2132828
PK
—
Enumeration date
11/03/2011
Last updated
07/19/2018
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