Healthcare Provider Details

I. General information

NPI: 1205195526
Provider Name (Legal Business Name): ZHUHA PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2012
Last Update Date: 05/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

278 BRIGHTON BEACH AVE
BROOKLYN NY
11235-7411
US

IV. Provider business mailing address

278 BRIGHTON BEACH AVE
BROOKLYN NY
11235-7411
US

V. Phone/Fax

Practice location:
  • Phone: 718-648-0002
  • Fax:
Mailing address:
  • Phone: 718-648-0002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number027073
License Number StateNY

VIII. Authorized Official

Name: SAJID JAVED
Title or Position: PRESIDENT
Credential:
Phone: 718-648-0002