Healthcare Provider Details

I. General information

NPI: 1831296771
Provider Name (Legal Business Name): CPW DRUGS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 03/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13107 ROCKAWAY BLVD
SOUTH OZONE PARK NY
11420-2931
US

IV. Provider business mailing address

13107 ROCKAWAY BLVD
SOUTH OZONE PARK NY
11420-2931
US

V. Phone/Fax

Practice location:
  • Phone: 718-322-5000
  • Fax: 718-322-1280
Mailing address:
  • Phone: 718-322-5000
  • Fax: 718-322-1280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number021636
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: NAHAZ QUDDUS
Title or Position: VICE PRESIDENT
Credential:
Phone: 718-322-5000