Provider Demographics
NPI:1255013108
Name:SUTPHIN NEIGHBORHOOD PHARMACY INC.
Entity type:Organization
Organization Name:SUTPHIN NEIGHBORHOOD PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:HIDALGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-928-0032
Mailing Address - Street 1:10752 SUTPHIN BLVD
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11435-5435
Mailing Address - Country:US
Mailing Address - Phone:718-928-0032
Mailing Address - Fax:718-928-0025
Practice Address - Street 1:10752 SUTPHIN BLVD
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11435-5435
Practice Address - Country:US
Practice Address - Phone:347-454-9995
Practice Address - Fax:347-212-4734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-01
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy