Healthcare Provider Details

I. General information

NPI: 1366955452
Provider Name (Legal Business Name): W & Z APOTHECARY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2017
Last Update Date: 09/19/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

239B E 149TH ST
BRONX NY
10451-1864
US

IV. Provider business mailing address

239B E 149TH ST
BRONX NY
10451-1864
US

V. Phone/Fax

Practice location:
  • Phone: 929-246-5050
  • Fax: 929-246-5051
Mailing address:
  • Phone: 929-246-5050
  • Fax: 929-246-5051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number036067
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: KAZI ALI
Title or Position: PRESIDENT
Credential:
Phone: 929-246-5050