MEDICARE: NOOR PHARMA LLC

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

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	:	1841751773
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOOR PHARMA LLC

Provider Business Mailing Address
First Line	:	33 101ST AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11208-3404
Country	:	US
Telephone Number	:	718-296-7777
Fax Number	:	718-296-7778

Provider Business Practice Location Address
First Line	:	33 101ST AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11208-3404
Country	:	US
Telephone Number	:	718-296-7777
Fax Number	:	718-296-7778

Authorized Official
Title or Position	:	OWNER
Name	:	PAMELA GURDON
Credential	:
Telephone Number	:	347-806-4136

Provider Enumeration Date	:	03/25/2019
Last Update Date	:	06/01/2026

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Directions to “NOOR PHARMA LLC ” Practice Location

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