MEDICARE: SAFA DRUGS INCORPORATED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy
2	333600000X	Pharmacy	034257	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2159000	OTHER		PK

General Provider Information

NPI Number	:	1184985400
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAFA DRUGS INCORPORATED

Provider Business Mailing Address
First Line	:	16523 HILLSIDE AVE
Second Line	:
City	:	JAMAICA
State	:	NY
Zip	:	11432-4134
Country	:	US
Telephone Number	:	718-739-0940
Fax Number	:

Provider Business Practice Location Address
First Line	:	16523 HILLSIDE AVE
Second Line	:
City	:	JAMAICA
State	:	NY
Zip	:	11432-4134
Country	:	US
Telephone Number	:	718-739-0940
Fax Number	:

Authorized Official
Title or Position	:	ADMIN
Name	:	MOHAMMAD ZAMAN
Credential	:
Telephone Number	:	718-739-0940

Provider Enumeration Date	:	06/04/2012
Last Update Date	:	03/29/2017

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Directions to “SAFA DRUGS INCORPORATED ” Practice Location

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