Organization
WISE PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADNAN SHAHID (PRESIDENT)
(718) 978-6168
Entity
Organization
Contact information
Practice address
189-01 LINDEN BLVD, SAINT ALBANS, NY 11412
(718) 978-6168
Mailing address
18901 LINDEN BLVD, SAINT ALBANS, NY 11412-3330
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
033563
NY
Other
Enumeration date
05/28/2015
Last updated
05/28/2015
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