Healthcare Provider Details

I. General information

NPI: 1982925830
Provider Name (Legal Business Name): FAIR CARE PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2010
Last Update Date: 05/04/2020
Certification Date: 05/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1094 FLATBUSH AVE
BROOKLYN NY
11226-6101
US

IV. Provider business mailing address

1094 FLATBUSH AVE
BROOKLYN NY
11226-6101
US

V. Phone/Fax

Practice location:
  • Phone: 347-305-3100
  • Fax: 347-305-3099
Mailing address:
  • Phone: 347-305-3100
  • Fax: 347-305-3099

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 Number030278
License Number StateNY

VIII. Authorized Official

Name: WAHEED AFZAL
Title or Position: PRESIDENT
Credential:
Phone: 646-201-8457