Healthcare Provider Details
I. General information
NPI: 1871535526
Provider Name (Legal Business Name): ZEBA DRUGS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/10/2006
Last Update Date: 01/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6302 FLUSHING AVE
MASPETH NY
11378-2834
US
IV. Provider business mailing address
6302 FLUSHING AVE
MASPETH NY
11378-2834
US
V. Phone/Fax
- Phone: 718-894-0428
- Fax: 718-894-0428
- Phone: 718-894-0428
- Fax: 718-894-0428
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 333600000X |
| Taxonomy | Pharmacy |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | 016609 |
| License Number State | NY |
VIII. Authorized Official
Name:
ABDUR
BHUIYAN
Title or Position: PRESIDENT
Credential: M.PHARM/ RPH
Phone: 718-894-0428