Provider Demographics
NPI:1982412656
Name:ISAACS PHARMACY
Entity type:Organization
Organization Name:ISAACS PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WAEL
Authorized Official - Middle Name:NABIL
Authorized Official - Last Name:ISAAC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-210-6113
Mailing Address - Street 1:511 OLD POST RD STE 6
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08817-4684
Mailing Address - Country:US
Mailing Address - Phone:732-287-3999
Mailing Address - Fax:
Practice Address - Street 1:511 OLD POST RD STE 6
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08817-4684
Practice Address - Country:US
Practice Address - Phone:732-287-3999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-26
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy