=====================================================
General NPI Number Information
=====================================================
NPI Number | 1427332857
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BZPHARMACY INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/04/2011
-----------------------------------------------------
Last Update Date | 06/15/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 905 HEMPSTEAD TPKE
-----------------------------------------------------
City | FRANKLINSQUARE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11010
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 516-492-3201
-----------------------------------------------------
Fax | 516-492-3202
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 905 HEMPSTEAD TPKE
-----------------------------------------------------
City | FRANKLINSQUARE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11010
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 516-492-3201
-----------------------------------------------------
Fax | 516-492-3202
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MR. QAISER MAHMUD CHAUDHARY
-----------------------------------------------------
Credential | 12,25,1956.
-----------------------------------------------------
Telephone | 516-492-3201
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 333600000X
-----------------------------------------------------
Taxonomy Name | Pharmacy
-----------------------------------------------------
License Number | 030912
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------