MEDICARE: TU SALUD PHARMACY INC.

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

General Provider Information

NPI Number	:	1598445074
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TU SALUD PHARMACY INC.

Provider Business Mailing Address
First Line	:	9109 ROOSEVELT AVE FL 1
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-7995
Country	:	US
Telephone Number	:	929-235-8886
Fax Number	:	929-235-8887

Provider Business Practice Location Address
First Line	:	9109 ROOSEVELT AVE FL 1
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-7995
Country	:	US
Telephone Number	:	929-235-8886
Fax Number	:	929-235-8887

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MOHSIN IQBAL SHEIKH
Credential	:
Telephone Number	:	929-235-8886

Provider Enumeration Date	:	07/20/2023
Last Update Date	:	07/20/2023

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