Organization
M.B.AHMED DRUG CORP
Active
Other names
ROOSEVELT DRUG AND SURGICAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MUHAMMAD RAFIQ PHD PHARMACY (PHARMACIST/PRESIDENT)
(718) 424-1291
Entity
Organization
Contact information
Practice address
7419 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372-6529
(718) 424-1291
(718) 898-1860
Mailing address
7419 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372-6529
(718) 424-1291
(718) 898-1860
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
018751
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01119704
—
NY
Enumeration date
10/05/2005
Last updated
10/01/2012
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