Provider Demographics
NPI:1326259383
Name:NEW HORIZON PHARMACY CORP
Entity Type:Organization
Organization Name:NEW HORIZON PHARMACY CORP
Other - Org Name:FAMILY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:AZIM
Authorized Official - Last Name:SARFRAZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD PHARMACIST
Authorized Official - Phone:718-349-6767
Mailing Address - Street 1:45-60 43RD ST
Mailing Address - Street 2:
Mailing Address - City:SUNNYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11104-2610
Mailing Address - Country:US
Mailing Address - Phone:718-349-6767
Mailing Address - Fax:
Practice Address - Street 1:45-60 43RD ST
Practice Address - Street 2:
Practice Address - City:SUNNYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11104-2610
Practice Address - Country:US
Practice Address - Phone:718-349-6767
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW HORIZON PHARMACY CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-05-24
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02384256Medicaid
NY3330862OtherNABP
NY3330862OtherNABP