Provider Demographics
NPI:1245848993
Name:PLAZA PHARMACY CORP
Entity type:Organization
Organization Name:PLAZA PHARMACY CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SAEED
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEIKH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH,MD
Authorized Official - Phone:201-706-0094
Mailing Address - Street 1:84 VERONICA AVE STE A107
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-3529
Mailing Address - Country:US
Mailing Address - Phone:201-706-0094
Mailing Address - Fax:732-659-6275
Practice Address - Street 1:84 VERONICA AVE STE A107
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-3529
Practice Address - Country:US
Practice Address - Phone:201-706-0094
Practice Address - Fax:732-659-6275
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PLAZA PHARMACY CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-07-20
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy