Ridwan Islam
Pharmacist in Queens Village, NY. Individual provider (NPI-1).
NPI number1669938643
StatusActive
Last updated in NPPESFeb 14, 2019
Details
- NPI
- 1669938643
- Entity type
- Individual (NPI-1)
- Name
- Ridwan Islam
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 14, 2019
- Last updated
- Feb 14, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 064982 | NY | Yes |
Practice location
21444 Hillside AveQueens Village, NY 11427-1830
Phone 718-776-1123
Mailing address
21815 94th DrQueens Village, NY 11428-2101
Phone 347-882-4181
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All 66 Pharmacist providers in Queens Village · All 1,640 providers in Queens Village
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