Healthcare Provider Details
I. General information
NPI: 1316082449
Provider Name (Legal Business Name): PBS DRUGS, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/20/2007
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
126 JACKSON ST
HEMPSTEAD NY
11550-2413
US
IV. Provider business mailing address
126 JACKSON ST
HEMPSTEAD NY
11550-2413
US
V. Phone/Fax
- Phone: 516-483-2800
- Fax: 516-538-4456
- Phone: 516-483-2800
- Fax: 516-538-4456
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | 025409 |
| License Number State | NY |
VIII. Authorized Official
Name: MR.
BHANU
GADDE
Title or Position: PRESIDENT
Credential:
Phone: 516-483-2800