Provider Demographics
NPI:1558752840
Name:SHERMAN PHARMACY 2 INC.
Entity Type:Organization
Organization Name:SHERMAN PHARMACY 2 INC.
Other - Org Name:SHERMAN PHARMACY 2
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/SUPERVISING PHARMACIST
Authorized Official - Prefix:MR
Authorized Official - First Name:IMRAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:KAZMI
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:917-449-0086
Mailing Address - Street 1:5810 MYRTLE AVENUE
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11385-5021
Mailing Address - Country:US
Mailing Address - Phone:718-628-8190
Mailing Address - Fax:718-628-8191
Practice Address - Street 1:5810 MYRTLE AVENUE
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NY
Practice Address - Zip Code:11385-5021
Practice Address - Country:US
Practice Address - Phone:718-628-8190
Practice Address - Fax:718-628-8191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-09
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034804333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy