Provider Demographics
NPI:1326514233
Name:AMERKIAN,INC.
Entity Type:Organization
Organization Name:AMERKIAN,INC.
Other - Org Name:NORTHEASTERN PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:YEHUDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIBONI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-400-9999
Mailing Address - Street 1:9155 DYER ST SUITE B-80 BOX116
Mailing Address - Street 2:BOX 116
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79924
Mailing Address - Country:US
Mailing Address - Phone:915-400-9999
Mailing Address - Fax:915-400-4618
Practice Address - Street 1:4501 HERCULES AVE STE B
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79904-3310
Practice Address - Country:US
Practice Address - Phone:915-400-9999
Practice Address - Fax:915-400-4618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-18
Last Update Date:2019-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy