Provider Demographics
NPI:1982201885
Name:NIAZ RX INC
Entity Type:Organization
Organization Name:NIAZ RX INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:NIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-401-2667
Mailing Address - Street 1:750 HAMBURG TPKE
Mailing Address - Street 2:
Mailing Address - City:POMPTON LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07442-1452
Mailing Address - Country:US
Mailing Address - Phone:973-835-9900
Mailing Address - Fax:973-835-9907
Practice Address - Street 1:750 HAMBURG TPKE
Practice Address - Street 2:
Practice Address - City:POMPTON LAKES
Practice Address - State:NJ
Practice Address - Zip Code:07442-1452
Practice Address - Country:US
Practice Address - Phone:973-835-9900
Practice Address - Fax:973-835-9907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-04
Last Update Date:2020-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy