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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