Provider Demographics
NPI:1790020089
Name:AUSTIN DRUGS INC.
Entity Type:Organization
Organization Name:AUSTIN DRUGS INC.
Other - Org Name:FORDHAM HEALTH PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAFAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAIMOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-220-7232
Mailing Address - Street 1:202 W FORDHAM RD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10468-5520
Mailing Address - Country:US
Mailing Address - Phone:718-220-7232
Mailing Address - Fax:718-220-7234
Practice Address - Street 1:202 W FORDHAM RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10468-5520
Practice Address - Country:US
Practice Address - Phone:718-220-7232
Practice Address - Fax:718-220-7234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-28
Last Update Date:2012-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy