Provider Demographics
NPI:1851657134
Name:A AND B PHARMACY INC
Entity Type:Organization
Organization Name:A AND B PHARMACY INC
Other - Org Name:A & B PHARMACY INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:ABRAHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:HAROONI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-314-3148
Mailing Address - Street 1:1348 CONEY ISLAND AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-4120
Mailing Address - Country:US
Mailing Address - Phone:718-513-6644
Mailing Address - Fax:718-513-6449
Practice Address - Street 1:1348 CONEY ISLAND AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-4120
Practice Address - Country:US
Practice Address - Phone:718-513-6644
Practice Address - Fax:718-513-6449
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-11
Last Update Date:2012-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0311413336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
5804958OtherNCPDP PROVIDER IDENTIFICATION NUMBER