Provider Demographics
NPI:1982025235
Name:S & P PHARMACY CORPORATION
Entity Type:Organization
Organization Name:S & P PHARMACY CORPORATION
Other - Org Name:MARHABA PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHAZIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BIBI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:929-333-9306
Mailing Address - Street 1:2029 BATH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-4805
Mailing Address - Country:US
Mailing Address - Phone:929-333-9306
Mailing Address - Fax:929-333-9308
Practice Address - Street 1:2029 BATH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-4805
Practice Address - Country:US
Practice Address - Phone:929-333-9306
Practice Address - Fax:929-333-9308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-03
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0324783336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2143840OtherPK
2143840OtherPK