Provider Demographics
NPI:1821137951
Name:FRS DRUG, INC
Entity Type:Organization
Organization Name:FRS DRUG, INC
Other - Org Name:VALUE PRICE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SP PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:FAZAL
Authorized Official - Middle Name:UR
Authorized Official - Last Name:REHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-535-4710
Mailing Address - Street 1:1475 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-2292
Mailing Address - Country:US
Mailing Address - Phone:212-535-4710
Mailing Address - Fax:212-535-2033
Practice Address - Street 1:1475 2ND AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-2292
Practice Address - Country:US
Practice Address - Phone:212-535-4710
Practice Address - Fax:212-535-2033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021723333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY3340635OtherNABP NUMBER