Healthcare Provider Details

I. General information

NPI: 1851457436
Provider Name (Legal Business Name): REO CHEMISTS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2006
Last Update Date: 04/05/2024
Certification Date: 04/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8112 LEFFERTS BLVD
KEW GARDENS NY
11415-1729
US

IV. Provider business mailing address

8112 LEFFERTS BLVD
KEW GARDENS NY
11415-1729
US

V. Phone/Fax

Practice location:
  • Phone: 718-849-4661
  • Fax: 718-849-4662
Mailing address:
  • Phone: 718-849-4661
  • Fax: 718-849-4662

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number014724
License Number StateNY

VIII. Authorized Official

Name: MUHAMMED ARIF
Title or Position: PRESIDENT
Credential:
Phone: 718-849-4661