Provider Demographics
NPI:1306202304
Name:PARK DRUGS INC
Entity Type:Organization
Organization Name:PARK DRUGS INC
Other - Org Name:TABLET PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAHANGIR
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAUDARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-251-9699
Mailing Address - Street 1:1590 FULTON ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11213-1124
Mailing Address - Country:US
Mailing Address - Phone:347-987-3380
Mailing Address - Fax:347-916-0310
Practice Address - Street 1:1590 FULTON ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213-1124
Practice Address - Country:US
Practice Address - Phone:347-987-3380
Practice Address - Fax:347-916-0310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-06
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
NY0340033336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2157602OtherPK