| Organization Name: | 905 HEMPSTEAD PHARMACY INC. |
| NPI Number: | 1942638499 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | QAISER M CHAUDHARY (BUSINESS MAN) |
| Mailing Address: | 905 Hempstead Tpke Franklin Square |
| State: | NY US |
| Postal Code: | 110103633 |
| Phone Number: | 5164923201 |
| Fax Number: | 5164923204 |
| NPI Enumeration Date: | 10/19/2013 |
| NPI Last Update Date: | 10/19/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 302R00000X |
| License Number: | 17032346 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Managed Care Organizations |
| Taxonomy Classification: | Health Maintenance Organization |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |