Provider Demographics
NPI:1184759748
Name:HUQ, MASUDUL (RPH)
Entity type:Individual
Prefix:
First Name:MASUDUL
Middle Name:
Last Name:HUQ
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1832 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:EAST MEADOW
Mailing Address - State:NY
Mailing Address - Zip Code:11554-4007
Mailing Address - Country:US
Mailing Address - Phone:516-794-6631
Mailing Address - Fax:
Practice Address - Street 1:6428 108TH ST
Practice Address - Street 2:RIZCO DRUGS INC.
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-1611
Practice Address - Country:US
Practice Address - Phone:718-459-7711
Practice Address - Fax:718-459-9593
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY032530183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist