Provider Demographics
NPI:1962560748
Name:FIRST PHARMACEUTICAL CORP
Entity type:Organization
Organization Name:FIRST PHARMACEUTICAL CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:AU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-966-7588
Mailing Address - Street 1:53 ELIZABETH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-4623
Mailing Address - Country:US
Mailing Address - Phone:212-966-7588
Mailing Address - Fax:212-966-5088
Practice Address - Street 1:53 ELIZABETH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-4728
Practice Address - Country:US
Practice Address - Phone:212-966-7588
Practice Address - Fax:212-966-5088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026196333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3333870OtherNABP
NY02426259Medicaid
3333870OtherNABP