Provider Demographics
NPI:1700557816
Name:PARKVIEW PHARMACY LLC
Entity Type:Organization
Organization Name:PARKVIEW PHARMACY LLC
Other - Org Name:PARKVIEW
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHARMACIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:PARDIS
Authorized Official - Middle Name:
Authorized Official - Last Name:POURNAZARI
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:917-547-9223
Mailing Address - Street 1:19 PARSELLS CT
Mailing Address - Street 2:
Mailing Address - City:CLOSTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07624-2915
Mailing Address - Country:US
Mailing Address - Phone:917-547-9223
Mailing Address - Fax:
Practice Address - Street 1:1430 QUEEN ANNE RD
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-3518
Practice Address - Country:US
Practice Address - Phone:201-837-6368
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-28
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy