Healthcare Provider Details

I. General information

NPI: 1902162506
Provider Name (Legal Business Name): SORKINS RX LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2012
Last Update Date: 12/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

251 MAITLAND AVE STE 107
ALTAMONTE SPRINGS FL
32701-4913
US

IV. Provider business mailing address

1981 MARCUS AVE SUITE 225
NEW HYDE PARK NY
11042-2060
US

V. Phone/Fax

Practice location:
  • Phone: 877-227-3405
  • Fax: 877-542-2731
Mailing address:
  • Phone: 877-227-3405
  • Fax: 877-542-2731

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH25885
License Number StateFL

VIII. Authorized Official

Name: NUAMAN TYYEB
Title or Position: PRESIDENT
Credential:
Phone: 877-227-3405