Healthcare Provider Details

I. General information

NPI: 1508964248
Provider Name (Legal Business Name): INWOOD PHARMACY & SURGICAL SUPPLY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 04/16/2022
Certification Date: 04/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 DOUGHTY BLVD
INWOOD NY
11096-2003
US

IV. Provider business mailing address

115 DOUGHTY BLVD
INWOOD NY
11096-2003
US

V. Phone/Fax

Practice location:
  • Phone: 516-371-4113
  • Fax: 516-371-4454
Mailing address:
  • Phone: 516-371-4113
  • Fax: 516-371-4454

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number026719
License Number StateNY

VIII. Authorized Official

Name: MR. MUHAMMAD TUQEER AJMAL
Title or Position: PRESIDENT
Credential: RPH
Phone: 518-960-7582