Organization
BOOTH MEMORIAL AVENUE DRUGS INC
Active
Organization
BOOTH MEMORIAL AVENUE DRUGS INC
Active
Other names
booth memorial pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHZAD NAWAZ (PRESIDENT)
(718) 445-9070
Entity
Organization
Contact information
Practice address
13528 BOOTH MEMORIAL AVE, FLUSHING, NY 11355-5009
(718) 844-5907
Mailing address
13528 BOOTH MEMORIAL AVE, FLUSHING, NY 11355-5009
(718) 844-5907
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
030752
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030752
STATE BOARD OF PHARMACY
NY
Enumeration date
07/03/2011
Last updated
07/03/2011
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