Healthcare Provider Details

I. General information

NPI: 1699472829
Provider Name (Legal Business Name): KARA PHARMACY CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2023
Last Update Date: 02/08/2023
Certification Date: 02/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 HILLSIDE AVE STE 200
WILLISTON PARK NY
11596-2205
US

IV. Provider business mailing address

275 HILLSIDE AVE STE 200
WILLISTON PARK NY
11596-2205
US

V. Phone/Fax

Practice location:
  • Phone: 516-904-5551
  • Fax: 516-904-5552
Mailing address:
  • Phone: 516-904-5551
  • Fax: 516-904-5552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State

VIII. Authorized Official

Name: MRS. CAROLINE YACOUB
Title or Position: PRESIDENT
Credential:
Phone: 917-833-1110