Organization
AL-SHIFA PHARMACY INC
Active
Other names
VISTA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ABDUL AWAN (PRESIDENT)
(718) 417-9031
Entity
Organization
Contact information
Practice address
236 BUSHWICK AVE, BROOKLYN, NY 11206-2711
(718) 417-9031
(718) 417-5416
Mailing address
236 BUSHWICK AVE, BROOKLYN, NY 11206-2711
(718) 417-9031
(718) 417-5416
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
030263
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03247023
—
NY
01
—
2127072
PK
—
Enumeration date
06/29/2010
Last updated
02/20/2017
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