Healthcare Provider Details

I. General information

NPI: 1912011990
Provider Name (Legal Business Name): AKSHAR HLTH CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 10/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

165 W 127TH ST
NEW YORK NY
10027-3720
US

IV. Provider business mailing address

74 OVERBROOK AVE
EDISON NJ
08817-5528
US

V. Phone/Fax

Practice location:
  • Phone: 212-222-2340
  • Fax: 212-222-1534
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number026168
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: SANJAY PATEL
Title or Position: PRESIDENT
Credential:
Phone: 212-222-2340