Provider Demographics
NPI:1174694855
Name:TU FARMACIA INC
Entity type:Organization
Organization Name:TU FARMACIA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SYED
Authorized Official - Middle Name:HASAN
Authorized Official - Last Name:MOMIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:718-292-8513
Mailing Address - Street 1:553 SOUTHERN BLVD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10455-3762
Mailing Address - Country:US
Mailing Address - Phone:718-292-8513
Mailing Address - Fax:718-292-5246
Practice Address - Street 1:553 SOUTHERN BLVD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10455-3762
Practice Address - Country:US
Practice Address - Phone:718-292-8513
Practice Address - Fax:718-292-5246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018558333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00923193Medicaid
NY018558OtherNY STATE BOARD OF PHARMAC
3384C55OtherNABP
3384C55OtherNABP