Healthcare Provider Details

I. General information

NPI: 1841751773
Provider Name (Legal Business Name): NOOR PHARMA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2019
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 101ST AVE
BROOKLYN NY
11208-3404
US

IV. Provider business mailing address

33 101ST AVE
BROOKLYN NY
11208-3404
US

V. Phone/Fax

Practice location:
  • Phone: 718-296-7777
  • Fax: 718-296-7778
Mailing address:
  • Phone: 718-296-7777
  • Fax: 718-296-7778

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: PAMELA GURDON
Title or Position: OWNER
Credential:
Phone: 347-806-4136