Organization
WEBSTER AVE. PHARMACY CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FAROOQ KHAWAJA B.S (PRES)
(718) 618-0802
Entity
Organization
Contact information
Practice address
1231 WEBSTER AVE, BRONX, NY 10456-3373
(718) 618-0802
(718) 618-0804
Mailing address
1231 WEBSTER AVE, BRONX, NY 10456
(718) 618-0802
(718) 618-0804
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
030398
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030398
NY STATE BOARD OF PHARMACY
NY
Enumeration date
11/19/2010
Last updated
11/19/2010
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