Provider Demographics
NPI:1427332857
Name:BZPHARMACY INC
Entity type:Organization
Organization Name:BZPHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:QAISER
Authorized Official - Middle Name:MAHMUD
Authorized Official - Last Name:CHAUDHARY
Authorized Official - Suffix:
Authorized Official - Credentials:12,25,1956
Authorized Official - Phone:516-492-3201
Mailing Address - Street 1:905 HEMPSTEAD TPKE
Mailing Address - Street 2:
Mailing Address - City:FRANKLINSQUARE
Mailing Address - State:NY
Mailing Address - Zip Code:11010
Mailing Address - Country:US
Mailing Address - Phone:516-492-3201
Mailing Address - Fax:516-492-3202
Practice Address - Street 1:905 HEMPSTEAD TPKE
Practice Address - Street 2:
Practice Address - City:FRANKLINSQUARE
Practice Address - State:NY
Practice Address - Zip Code:11010
Practice Address - Country:US
Practice Address - Phone:516-492-3201
Practice Address - Fax:516-492-3202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-04
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030912333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03411938Medicaid
NY03411938Medicaid