Healthcare Provider Details

I. General information

NPI: 1053592527
Provider Name (Legal Business Name): NOOR PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2007
Last Update Date: 11/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2036 BEDFORD AVE
BROOKLYN NY
11226-1905
US

IV. Provider business mailing address

2036 BEDFORD AVE
BROOKLYN NY
11226-1905
US

V. Phone/Fax

Practice location:
  • Phone: 718-282-8982
  • Fax: 718-282-0428
Mailing address:
  • Phone: 718-282-8982
  • Fax: 718-282-0428

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number028573
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MUHAMMAD ASHRAF
Title or Position: PIC
Credential:
Phone: 718-282-8982