MEDICARE: NVR 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	018453	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

General Provider Information

NPI Number	:	1780752113
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NVR PHARMACY INC

Provider Business Mailing Address
First Line	:	61 E MOUNT EDEN AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10452-5806
Country	:	US
Telephone Number	:	718-583-3575
Fax Number	:	718-583-0976

Provider Business Practice Location Address
First Line	:	61 E MOUNT EDEN AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10452-5806
Country	:	US
Telephone Number	:	718-583-3575
Fax Number	:	718-583-0976

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. MOHAMMAD AKHTER HOSSAIN
Credential	:
Telephone Number	:	718-583-3575

Provider Enumeration Date	:	12/01/2006
Last Update Date	:	11/18/2011

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