Organization
NUEVA VIDA PHARMACY INC
Active
Other names
NUEVA VIDA PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
AHSAN SHEIKH (PRESIDENT)
(718) 899-0200
Entity
Organization
Contact information
Practice address
8125 37TH AVE, JACKSON HEIGHTS, NY 11372
(718) 899-0200
(718) 899-0600
Mailing address
8125 37TH AVE, JACKSON HEIGHTS, NY 11372-6718
(718) 899-0200
(718) 899-0600
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
029767
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3169211
—
NY
01
—
3363277
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
11/13/2009
Last updated
07/24/2018
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