Provider Demographics
NPI:1508101692
Name:NOVA PHARMACY INC.
Entity Type:Organization
Organization Name:NOVA PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:FERDAUSI
Authorized Official - Middle Name:
Authorized Official - Last Name:NARGIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-328-7040
Mailing Address - Street 1:1521 WATSON AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10472-5329
Mailing Address - Country:US
Mailing Address - Phone:718-328-7040
Mailing Address - Fax:718-328-1535
Practice Address - Street 1:1521 WATSON AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10472-5329
Practice Address - Country:US
Practice Address - Phone:718-328-7040
Practice Address - Fax:718-328-1535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-30
Last Update Date:2012-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy