Provider Demographics
NPI:1265864912
Name:TAS PHARMACY INC
Entity Type:Organization
Organization Name:TAS PHARMACY INC
Other - Org Name:NORTH STREET PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:S
Authorized Official - Last Name:RAHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-800-5453
Mailing Address - Street 1:445 NORTH ST ROUTE 17 M
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-0000
Mailing Address - Country:US
Mailing Address - Phone:845-344-4050
Mailing Address - Fax:845-344-4402
Practice Address - Street 1:445 NORTH ST ROUTE 17 M
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-0000
Practice Address - Country:US
Practice Address - Phone:845-344-4050
Practice Address - Fax:845-344-4402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-05
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY032054333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy