Healthcare Provider Details

I. General information

NPI: 1407394406
Provider Name (Legal Business Name): ABC DRUGS PP INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2017
Last Update Date: 07/17/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3010 WESTCHESTER AVE STE 106A
PURCHASE NY
10577-2535
US

IV. Provider business mailing address

3010 WESTCHESTER AVE SUITE 106A
PURCHASE NY
10577-2535
US

V. Phone/Fax

Practice location:
  • Phone: 914-416-4800
  • Fax: 914-368-6154
Mailing address:
  • Phone: 914-416-4800
  • Fax: 914-368-6154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number035268
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: RAJAN KOHLI
Title or Position: PRESIDENT
Credential:
Phone: 347-755-5540