Provider Demographics
NPI: | 1235991944 |
---|---|
Name: | SEVEN PHARMACY LLC |
Entity Type: | Organization |
Organization Name: | SEVEN PHARMACY LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | |
Authorized Official - First Name: | ABDELRAHMAN |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | HASSAAN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 516-800-7241 |
Mailing Address - Street 1: | 345 MAIN AVE STE 1 |
Mailing Address - Street 2: | |
Mailing Address - City: | NORWALK |
Mailing Address - State: | CT |
Mailing Address - Zip Code: | 06851-1547 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 345 MAIN AVE STE 1 |
Practice Address - Street 2: | |
Practice Address - City: | NORWALK |
Practice Address - State: | CT |
Practice Address - Zip Code: | 06851-1547 |
Practice Address - Country: | US |
Practice Address - Phone: | 203-900-4471 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2024-01-29 |
Last Update Date: | 2024-01-29 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 3336C0003X | Suppliers | Pharmacy | Community/Retail Pharmacy |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
CT | PCY.0002492 | Other | CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION - COMMISSION OF PHARMACY |