Organization
SHAKESPEARE PHARMACY LLC
Active
Other names
Shakespeare Pharmacy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MUSHTAQ FAISAL (PRESIDENT)
(718) 588-4100
Entity
Organization
Contact information
Practice address
1252 SHAKESPEARE AVE, BRONX, NY 10452-3012
(718) 588-4100
(718) 588-4200
Mailing address
1252 SHAKESPEARE AVE, BRONX, NY 10452-3012
(718) 588-4100
(718) 588-4200
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
029403
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3361211
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
06/09/2009
Last updated
10/26/2010
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