Organization
ASZ DRUG CORP
Active
Other names
ASZ DRUG CORP
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD EDREIS SP PHARM (MANG)
(718) 996-9299
Entity
Organization
Contact information
Practice address
121 AVENUE U, BROOKLYN, NY 11223-3605
(718) 996-9299
(718) 996-9335
Mailing address
121 AVENUE U, BROOKLYN, NY 11223-3605
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
024147
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01911182
—
NY
01
—
3302546
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/18/2006
Last updated
11/21/2008
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