Provider Demographics
NPI:1316520190
Name:DOSEPACK PHARMACY LLC
Entity type:Organization
Organization Name:DOSEPACK PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MUHAMMAD ATIF
Authorized Official - Middle Name:
Authorized Official - Last Name:ISHTIAQ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-635-9737
Mailing Address - Street 1:258-15 HILLSIDE AVENUE STORE #2
Mailing Address - Street 2:
Mailing Address - City:GLEN OAKS
Mailing Address - State:NY
Mailing Address - Zip Code:11004
Mailing Address - Country:US
Mailing Address - Phone:845-558-3688
Mailing Address - Fax:845-558-3687
Practice Address - Street 1:258-15 HILLSIDE AVENUE STORE# 2
Practice Address - Street 2:
Practice Address - City:GLEN OAKS
Practice Address - State:NY
Practice Address - Zip Code:11004
Practice Address - Country:US
Practice Address - Phone:845-558-3688
Practice Address - Fax:845-558-3687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-30
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy