Healthcare Provider Details
I. General information
NPI: 1235973769
Provider Name (Legal Business Name): BUHRE RX INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/20/2024
Last Update Date: 06/20/2024
Certification Date: 06/11/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3033 BUHRE AVE
BRONX NY
10461
US
IV. Provider business mailing address
3033 BUHRE AVE
BRONX NY
10461
US
V. Phone/Fax
- Phone: 347-293-6501
- Fax: 347-293-6447
- Phone: 347-293-6501
- Fax: 347-293-6447
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HAMAD
SHAHID
Title or Position: PRESIDENT
Credential:
Phone: 347-293-6501