Provider Demographics
NPI:1528605813
Name:SIMPLEX PHARMACY INC.
Entity Type:Organization
Organization Name:SIMPLEX PHARMACY INC.
Other - Org Name:SIMPLEX PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUSAF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-462-2029
Mailing Address - Street 1:644 ROGERS AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-1502
Mailing Address - Country:US
Mailing Address - Phone:718-462-2029
Mailing Address - Fax:718-462-2026
Practice Address - Street 1:644 ROGERS AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-1502
Practice Address - Country:US
Practice Address - Phone:718-462-2029
Practice Address - Fax:718-462-2026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-05
Last Update Date:2020-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy