Provider Demographics
NPI: | 1396153680 |
---|---|
Name: | PHARMA HOLDING INC |
Entity type: | Organization |
Organization Name: | PHARMA HOLDING INC |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | CEO |
Authorized Official - Prefix: | |
Authorized Official - First Name: | VICTORIA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | FINKEL |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 718-687-8091 |
Mailing Address - Street 1: | 572 BEDFORD AVE |
Mailing Address - Street 2: | |
Mailing Address - City: | BROOKLYN |
Mailing Address - State: | NY |
Mailing Address - Zip Code: | 11249-7608 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 718-384-7334 |
Mailing Address - Fax: | 718-599-5155 |
Practice Address - Street 1: | 420 KENT AVE |
Practice Address - Street 2: | |
Practice Address - City: | BROOKLYN |
Practice Address - State: | NY |
Practice Address - Zip Code: | 11249-5601 |
Practice Address - Country: | US |
Practice Address - Phone: | 718-384-7334 |
Practice Address - Fax: | 718-599-5155 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2014-07-30 |
Last Update Date: | 2023-07-18 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 333600000X | Suppliers | Pharmacy | |
No | 3336C0003X | Suppliers | Pharmacy | Community/Retail Pharmacy |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
NY | 7370900001 | Medicare NSC |