Provider Demographics
NPI:1356107742
Name:PHARMAMAYA LLC
Entity type:Organization
Organization Name:PHARMAMAYA LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MAYA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHREIF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-333-5330
Mailing Address - Street 1:310 86TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-5076
Mailing Address - Country:US
Mailing Address - Phone:718-333-5588
Mailing Address - Fax:718-333-5330
Practice Address - Street 1:310 86TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-5076
Practice Address - Country:US
Practice Address - Phone:718-333-5588
Practice Address - Fax:718-333-5330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-23
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy