Organization
EZ SUPER PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABDUL R SAJID PRES. (PRESIDENT)
(718) 992-1204
Entity
Organization
Contact information
Practice address
3716 3RD AVE, BRONX, NY 10456-2103
(718) 992-1204
(718) 992-2501
Mailing address
37-16 3RD AVE., BRONX, NY 10456
(718) 992-1204
(718) 992-2501
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
029343
NY
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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