Provider Demographics
NPI:1750322657
Name:METRO DRUGS BORO PARK CORP
Entity Type:Organization
Organization Name:METRO DRUGS BORO PARK CORP
Other - Org Name:METRO DRUGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:TAWIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-627-2300
Mailing Address - Street 1:PO BOX 328
Mailing Address - Street 2:COOPER STREET STATION
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10276-0328
Mailing Address - Country:US
Mailing Address - Phone:212-627-2300
Mailing Address - Fax:212-675-0693
Practice Address - Street 1:5027 UTRECHT AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219
Practice Address - Country:US
Practice Address - Phone:718-431-8000
Practice Address - Fax:718-431-8943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-10
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
NY0266773336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3348592OtherNCPDP PROVIDER IDENTIFICATION NUMBER