Provider Demographics
NPI:1760950224
Name:BROOK PHARMACY INC
Entity Type:Organization
Organization Name:BROOK PHARMACY INC
Other - Org Name:BROOK SPECIALTY PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:IBRAR
Authorized Official - Middle Name:AHMED
Authorized Official - Last Name:NADEEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-292-1310
Mailing Address - Street 1:700 BROOK AVE STE AE156TH
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10455-1357
Mailing Address - Country:US
Mailing Address - Phone:718-292-1310
Mailing Address - Fax:718-292-1318
Practice Address - Street 1:700 BROOK AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10455-1357
Practice Address - Country:US
Practice Address - Phone:347-593-0871
Practice Address - Fax:718-292-1318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-02
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY=========OtherEIN NUMBER