Healthcare Provider Details

I. General information

NPI: 1679917157
Provider Name (Legal Business Name): SUNQUEST PHARMACEUTICALS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2013
Last Update Date: 07/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 EILEEN WAY UNIT 1
SYOSSET NY
11791-5313
US

IV. Provider business mailing address

150 EILEEN WAY UNIT 1
SYOSSET NY
11791-5313
US

V. Phone/Fax

Practice location:
  • Phone: 855-478-6779
  • Fax: 855-609-6979
Mailing address:
  • Phone: 855-478-6779
  • Fax: 855-609-6979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number031857
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: ATUL SHARMA
Title or Position: PRESIDENT
Credential:
Phone: 516-513-0799