Healthcare Provider Details

I. General information

NPI: 1780752113
Provider Name (Legal Business Name): NVR PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 11/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 E MOUNT EDEN AVE
BRONX NY
10452-5806
US

IV. Provider business mailing address

61 E MOUNT EDEN AVE
BRONX NY
10452-5806
US

V. Phone/Fax

Practice location:
  • Phone: 718-583-3575
  • Fax: 718-583-0976
Mailing address:
  • Phone: 718-583-3575
  • Fax: 718-583-0976

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number018453
License Number StateNY

VIII. Authorized Official

Name: MR. MOHAMMAD AKHTER HOSSAIN
Title or Position: PRESIDENT
Credential:
Phone: 718-583-3575