Provider Demographics
NPI:1417060435
Name:KLEIN PHARMACY INC.
Entity Type:Organization
Organization Name:KLEIN PHARMACY INC.
Other - Org Name:KLEIN PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NADEEM
Authorized Official - Middle Name:
Authorized Official - Last Name:KAUSAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-738-3333
Mailing Address - Street 1:123 FIFTH AVE
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:NY
Mailing Address - Zip Code:10803-1503
Mailing Address - Country:US
Mailing Address - Phone:914-738-3333
Mailing Address - Fax:914-738-8607
Practice Address - Street 1:123 FIFTH AVE
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:NY
Practice Address - Zip Code:10803-1503
Practice Address - Country:US
Practice Address - Phone:914-738-3333
Practice Address - Fax:914-738-8607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-16
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY5776320001Medicare NSC