Provider Demographics
NPI:1033699012
Name:SUBHAN PHARMACY INC.
Entity Type:Organization
Organization Name:SUBHAN PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAHID
Authorized Official - Middle Name:
Authorized Official - Last Name:ZULFIQAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-592-6103
Mailing Address - Street 1:1067 CONEY ISLAND AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-2372
Mailing Address - Country:US
Mailing Address - Phone:347-533-4737
Mailing Address - Fax:347-533-4736
Practice Address - Street 1:1067 CONEY ISLAND AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-2372
Practice Address - Country:US
Practice Address - Phone:347-533-4737
Practice Address - Fax:347-533-4736
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-18
Last Update Date:2018-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0367603336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy