Provider Demographics
NPI:1598196735
Name:KA CHEMISTS
Entity Type:Organization
Organization Name:KA CHEMISTS
Other - Org Name:MEDLIFE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ABBAS
Authorized Official - Middle Name:MASOOD
Authorized Official - Last Name:CHAUDHRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-379-9771
Mailing Address - Street 1:191 ROUTE 59 STE 10
Mailing Address - Street 2:
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-5002
Mailing Address - Country:US
Mailing Address - Phone:845-368-3784
Mailing Address - Fax:845-368-3780
Practice Address - Street 1:191 ROUTE 59 STE 10
Practice Address - Street 2:
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-5002
Practice Address - Country:US
Practice Address - Phone:845-368-3784
Practice Address - Fax:845-368-3780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-12
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0322353336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy