Organization
IDEAL PHARMACY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISMAT ULLAH CHAUDHARY RPH (PRESIDENT)
(917) 892-3928
Entity
Organization
Contact information
Practice address
5409 5TH AVE, BROOKLYN, NY 11220-3112
(718) 439-5900
(718) 439-3697
Mailing address
5409 5TH AVE, BROOKLYN, NY 11220-3112
(718) 439-5900
(718) 439-3697
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
018181
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00835245
—
NY
01
—
3380196
NCPDP
NY
Enumeration date
02/11/2007
Last updated
01/21/2020
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