MEDICARE: HUMZA 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	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1700488483
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUMZA PHARMACY INC.

Provider Business Mailing Address
First Line	:	3605 BERGENLINE AVE
Second Line	:
City	:	UNION CITY
State	:	NJ
Zip	:	07087-4752
Country	:	US
Telephone Number	:	201-429-9896
Fax Number	:	201-429-9897

Provider Business Practice Location Address
First Line	:	3605 BERGENLINE AVE
Second Line	:
City	:	UNION CITY
State	:	NJ
Zip	:	07087-4752
Country	:	US
Telephone Number	:	201-429-9896
Fax Number	:	201-429-9897

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SAFIA NAZIR AHMAD
Credential	:
Telephone Number	:	201-429-9896

Provider Enumeration Date	:	11/09/2020
Last Update Date	:	11/09/2020

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Directions to “HUMZA PHARMACY INC. ” Practice Location

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