Provider Demographics
NPI:1366235459
Name:PITKIN PHARMACY LLC
Entity type:Organization
Organization Name:PITKIN PHARMACY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:IFTIKHAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:929-627-4191
Mailing Address - Street 1:1801 PITKIN AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212-7859
Mailing Address - Country:US
Mailing Address - Phone:929-627-4191
Mailing Address - Fax:929-627-3263
Practice Address - Street 1:1801 PITKIN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-7859
Practice Address - Country:US
Practice Address - Phone:929-627-4191
Practice Address - Fax:929-627-3263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy