Healthcare Provider Details

I. General information

NPI: 1376904185
Provider Name (Legal Business Name): BRONX DRUGS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2016
Last Update Date: 02/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

445 E TREMONT AVE
BRONX NY
10457-4301
US

IV. Provider business mailing address

445 E TREMONT AVE
BRONX NY
10457-4301
US

V. Phone/Fax

Practice location:
  • Phone: 718-684-5888
  • Fax: 718-684-5860
Mailing address:
  • Phone: 718-684-5888
  • Fax: 718-684-5860

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number034604
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: AHSAN NADEEM
Title or Position: PRESIDENT/AO
Credential:
Phone: 201-637-4513