Healthcare Provider Details

I. General information

NPI: 1003368010
Provider Name (Legal Business Name): NATION CARE PHARMACY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2016
Last Update Date: 12/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136 NORTHERN BLVD STE 6
GREAT NECK NY
11021-4317
US

IV. Provider business mailing address

136 NORTHERN BLVD STE 6
GREAT NECK NY
11021-4317
US

V. Phone/Fax

Practice location:
  • Phone: 516-209-4970
  • Fax: 516-209-4971
Mailing address:
  • Phone: 516-209-4970
  • Fax: 516-209-4971

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MUHAMMAD RIZWAN
Title or Position: OWNER
Credential:
Phone: 516-782-4009