Provider Demographics
NPI:1841540275
Name:S H DRUGS INC
Entity type:Organization
Organization Name:S H DRUGS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PANKAJ
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-942-0202
Mailing Address - Street 1:210 NAGLE AVE
Mailing Address - Street 2:STORE # 8
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10034-6004
Mailing Address - Country:US
Mailing Address - Phone:212-942-0202
Mailing Address - Fax:212-942-0802
Practice Address - Street 1:210 NAGLE AVE
Practice Address - Street 2:STORE # 8
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10034-6004
Practice Address - Country:US
Practice Address - Phone:212-942-0202
Practice Address - Fax:212-942-0802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-13
Last Update Date:2013-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031674333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2137960OtherPK
NY03499438Medicaid