MEDICARE: POLSAK CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	025450	NY

General Provider Information

NPI Number	:	1578609889
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POLSAK CORPORATION

Provider Business Mailing Address
First Line	:	1018 OGDEN AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10452-5103
Country	:	US
Telephone Number	:	718-538-8183
Fax Number	:

Provider Business Practice Location Address
First Line	:	1018 OGDEN AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10452-5103
Country	:	US
Telephone Number	:	718-538-8183
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ROHIT SAKARIA
Credential	:
Telephone Number	:	718-538-8183

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	08/22/2020

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Directions to “POLSAK CORPORATION ” Practice Location

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