MEDICARE: QASIM PHARMACY INC

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	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	018984	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2064358	OTHER		PK

General Provider Information

NPI Number	:	1235297094
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QASIM PHARMACY INC

Provider Business Mailing Address
First Line	:	934 MYRTLE AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11206-6526
Country	:	US
Telephone Number	:	718-919-5075
Fax Number	:	718-919-3492

Provider Business Practice Location Address
First Line	:	934 MYRTLE AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11206-6526
Country	:	US
Telephone Number	:	718-919-5075
Fax Number	:	718-919-3492

Authorized Official
Title or Position	:	RPH
Name	:	IQBAL SABUHI
Credential	:	RPH
Telephone Number	:	718-919-5075

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	12/18/2016

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Directions to “QASIM PHARMACY INC ” Practice Location

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