MEDICARE: BANDSTAND 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	333600000X	Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831360254
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BANDSTAND CORPORATION

Provider Business Mailing Address
First Line	:	226 PROSPECT PARK W
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-5802
Country	:	US
Telephone Number	:	718-768-1325
Fax Number	:	718-832-3364

Provider Business Practice Location Address
First Line	:	226 PROSPECT PARK W
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-5802
Country	:	US
Telephone Number	:	718-768-1325
Fax Number	:	718-832-3364

Authorized Official
Title or Position	:	PHARMACIST
Name	:	DR. SAJID PATEL
Credential	:
Telephone Number	:	718-768-1325

Provider Enumeration Date	:	03/13/2008
Last Update Date	:	04/09/2024

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Directions to “BANDSTAND CORPORATION ” Practice Location

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