Healthcare Provider Details

I. General information

NPI: 1912011800
Provider Name (Legal Business Name): AIM PHARMACY AND SURGICALS CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 06/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1655 GRAND AVE
NORTH BALDWIN NY
11510-1846
US

IV. Provider business mailing address

1655 GRAND AVE
NORTH BALDWIN NY
11510-1846
US

V. Phone/Fax

Practice location:
  • Phone: 516-867-8200
  • Fax: 516-868-2800
Mailing address:
  • Phone: 516-867-8200
  • Fax: 516-868-2800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number027520
License Number StateNY

VIII. Authorized Official

Name: LUTFUL CHOWDHURY
Title or Position: PRESIDENT
Credential:
Phone: 516-867-8200