Provider Demographics
NPI:1558929455
Name:CENTRAL DRUGS INC
Entity Type:Organization
Organization Name:CENTRAL DRUGS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IGOR
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAMALOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-844-9911
Mailing Address - Street 1:6715 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11385-6633
Mailing Address - Country:US
Mailing Address - Phone:347-844-9911
Mailing Address - Fax:347-844-9754
Practice Address - Street 1:6715 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:NY
Practice Address - Zip Code:11385-6633
Practice Address - Country:US
Practice Address - Phone:347-844-9911
Practice Address - Fax:347-844-9754
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-05
Last Update Date:2021-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy