Healthcare Provider Details

I. General information

NPI: 1598798217
Provider Name (Legal Business Name): OWAIS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 02/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2981 FULTON ST
BROOKLYN NY
11208-1031
US

IV. Provider business mailing address

2981 FULTON ST
BROOKLYN NY
11208-1031
US

V. Phone/Fax

Practice location:
  • Phone: 718-827-8943
  • Fax:
Mailing address:
  • Phone: 718-827-8943
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number024705
License Number StateNY

VIII. Authorized Official

Name: MR. JAVED I MALIK
Title or Position: PRESIDENT
Credential:
Phone: 718-827-8943