Provider Demographics
NPI:1144864570
Name:SUPA APNA PHARMACY INC
Entity type:Organization
Organization Name:SUPA APNA PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZENTASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:JAHANZEB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-827-8943
Mailing Address - Street 1:217 BETHPAGE RD UNIT 26
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-1519
Mailing Address - Country:US
Mailing Address - Phone:516-595-7718
Mailing Address - Fax:516-595-7719
Practice Address - Street 1:217 BETHPAGE RD UNIT 26
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-1519
Practice Address - Country:US
Practice Address - Phone:516-595-7718
Practice Address - Fax:516-595-7719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-29
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy