Provider Demographics
NPI:1346565116
Name:BHUTTA, ARSHAD PERVEZ
Entity Type:Individual
Prefix:
First Name:ARSHAD
Middle Name:PERVEZ
Last Name:BHUTTA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:GREAT HEALTH INC D/B/A GOOD CARE PHARMACY
Mailing Address - Street 2:25112 HILLSIDE AVE
Mailing Address - City:BELLEROSE
Mailing Address - State:NY
Mailing Address - Zip Code:11426
Mailing Address - Country:US
Mailing Address - Phone:718-343-1000
Mailing Address - Fax:718-343-1858
Practice Address - Street 1:GREAT HEALTH INC D/B/A GOOD CARE PHARMACY
Practice Address - Street 2:251-12 HILLSIDE AVE
Practice Address - City:BELLEROSE
Practice Address - State:NY
Practice Address - Zip Code:11426-1142
Practice Address - Country:US
Practice Address - Phone:718-343-1000
Practice Address - Fax:718-343-1858
Is Sole Proprietor?:No
Enumeration Date:2010-04-05
Last Update Date:2018-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY041131183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist