Provider Demographics
NPI:1588125637
Name:SKYCARE RX INC
Entity type:Organization
Organization Name:SKYCARE RX INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SUPERVISING PHARMACIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NEHAL
Authorized Official - Middle Name:WAHID
Authorized Official - Last Name:MOHAMED ELFEKY
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:646-462-6968
Mailing Address - Street 1:1267 FOREST AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10302-2311
Mailing Address - Country:US
Mailing Address - Phone:718-524-6625
Mailing Address - Fax:
Practice Address - Street 1:1267 FOREST AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10302-2311
Practice Address - Country:US
Practice Address - Phone:646-462-6968
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-29
Last Update Date:2019-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy