Organization · NPI-2

Crescent Pharmacy, INC

Pharmacy, Community/Retail Pharmacy · Valley Stream, NY

NPI number1376671594
StatusActive
Last updated in NPPESNov 19, 2007

Details

NPI
1376671594
Entity type
Organization (NPI-2)
Legal business name
Crescent Pharmacy, INC
Organization subpart
No
Enumeration date
Mar 1, 2007
Last updated
Nov 19, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail Pharmacy––Yes

Practice location

48 Central Ct
Valley Stream, NY 11580-1143

Phone 516-593-7747 · Fax 516-593-7094

Mailing address

48 Central Ct
Valley Stream, NY 11580-1143

Phone 516-593-7747 · Fax 516-593-7094

Authorized official

Bashir Naeem Ahmed
President
5165937747

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