Healthcare Provider Details

I. General information

NPI: 1720684004
Provider Name (Legal Business Name): OXFORD PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2020
Last Update Date: 12/10/2020
Certification Date: 12/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

264 FLATBUSH AVE
BROOKLYN NY
11217-2820
US

IV. Provider business mailing address

264 FLATBUSH AVE
BROOKLYN NY
11217-2820
US

V. Phone/Fax

Practice location:
  • Phone: 929-298-0369
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: HYTHAM ABDULNABY
Title or Position: OWNER
Credential:
Phone: 347-722-4718