Provider Demographics
NPI:1104341155
Name:NILE EXPRESS PHARMACY INC.
Entity type:Organization
Organization Name:NILE EXPRESS PHARMACY INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HADEEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ELHAMOULY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-928-7720
Mailing Address - Street 1:NILE EXPRESS PHARMACY
Mailing Address - Street 2:1950 BATH AVENUE
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214
Mailing Address - Country:US
Mailing Address - Phone:718-928-7720
Mailing Address - Fax:718-928-7721
Practice Address - Street 1:1950 BATH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-4722
Practice Address - Country:US
Practice Address - Phone:718-333-5286
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-10
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1245613587OtherPERSONAL NPI