Provider Demographics
NPI:1669039343
Name:SMITHPHARMACYINC
Entity Type:Organization
Organization Name:SMITHPHARMACYINC
Other - Org Name:SMITH PHARMACY INC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:QAISER
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAUDHARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-485-3300
Mailing Address - Street 1:102A BELMONT AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212-7729
Mailing Address - Country:US
Mailing Address - Phone:718-485-3300
Mailing Address - Fax:718-485-3301
Practice Address - Street 1:102A BELMONT AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-7729
Practice Address - Country:US
Practice Address - Phone:718-485-3300
Practice Address - Fax:718-485-3301
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SMITH PHARMACY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-05-28
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy