Healthcare Provider Details

I. General information

NPI: 1194171843
Provider Name (Legal Business Name): A-Z MEDICAL SYSTEMS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2016
Last Update Date: 02/08/2024
Certification Date: 02/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

59 CHURCH STREET
PATERSON NJ
07505-1478
US

IV. Provider business mailing address

59 CHURCH STREET
PATERSON NJ
07505
US

V. Phone/Fax

Practice location:
  • Phone: 973-917-3175
  • Fax: 973-917-3177
Mailing address:
  • Phone: 973-917-3175
  • Fax: 973-917-3177

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number28RS00749000
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MOHAMMAD KHAN
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 973-917-3175