Provider Demographics
NPI:1073836516
Name:SCHWARTZ, ALLAN (RPH)
Entity Type:Individual
Prefix:MR
First Name:ALLAN
Middle Name:
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16422 84TH ST
Mailing Address - Street 2:
Mailing Address - City:HOWARD BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11414-3604
Mailing Address - Country:US
Mailing Address - Phone:718-845-0647
Mailing Address - Fax:
Practice Address - Street 1:129 MONTAGUE ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-3543
Practice Address - Country:US
Practice Address - Phone:718-237-2489
Practice Address - Fax:718-237-9202
Is Sole Proprietor?:No
Enumeration Date:2010-03-11
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY027760-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist