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Organization

BISMILLAH 1 CORPORATION

Active
Other names
Elton Pharmacy
Organization subpart
No

Provider details

NPI number
Authorized official
MAHMOOD NAQVI (OWNER)
(718) 827-8943
Entity
Organization

Contact information

Practice address
2992 FULTON ST, BROOKLYN, NY 11208-1124
(718) 827-8943
(718) 827-8195
Mailing address
2992 FULTON ST, BROOKLYN, NY 11208-1124
(718) 827-8943
(718) 827-8195

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
032397
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03794598
NY
01
2143253
PK
Enumeration date
11/22/2013
Last updated
12/01/2022
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