Healthcare Provider Details

I. General information

NPI: 1083617575
Provider Name (Legal Business Name): VICTOR TOBING RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2005
Last Update Date: 03/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NYHQ PHARMACY DEPT. 56-45 MAIN ST.
FLUSHING NY
11355
US

IV. Provider business mailing address

5645 MAIN ST NYHQ PHARMACY DEPT
FLUSHING NY
11355-5045
US

V. Phone/Fax

Practice location:
  • Phone: 718-670-1040
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS34495
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number046926
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number61098
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: