Provider Demographics
NPI:1306561832
Name:CORONA GLOBAL LLC
Entity type:Organization
Organization Name:CORONA GLOBAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MIRVICE
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-896-3441
Mailing Address - Street 1:5403 99TH ST
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:NY
Mailing Address - Zip Code:11368-3751
Mailing Address - Country:US
Mailing Address - Phone:347-649-1388
Mailing Address - Fax:347-649-1540
Practice Address - Street 1:5403 99TH ST
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:NY
Practice Address - Zip Code:11368-3751
Practice Address - Country:US
Practice Address - Phone:347-649-1388
Practice Address - Fax:347-649-1540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-06
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy