Provider Demographics
NPI:1366652109
Name:ESTABLISHED DRUGS INC
Entity Type:Organization
Organization Name:ESTABLISHED DRUGS INC
Other - Org Name:HEALTH WISE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAAD
Authorized Official - Middle Name:
Authorized Official - Last Name:FOZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-284-8413
Mailing Address - Street 1:1233 NOSTRAND AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11225-3844
Mailing Address - Country:US
Mailing Address - Phone:718-284-8413
Mailing Address - Fax:718-284-8414
Practice Address - Street 1:1233 NOSTRAND AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11225-3844
Practice Address - Country:US
Practice Address - Phone:718-284-8413
Practice Address - Fax:718-284-8414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0206963336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01230542Medicaid
NY5542810001Medicare NSC