Provider Demographics
NPI:1467338426
Name:AS-SALAM PHARMACY LTC
Entity type:Organization
Organization Name:AS-SALAM PHARMACY LTC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISING PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:NAZMUL
Authorized Official - Middle Name:
Authorized Official - Last Name:HUDA
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:646-286-0470
Mailing Address - Street 1:14726 HILLSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11435-3329
Mailing Address - Country:US
Mailing Address - Phone:718-291-0717
Mailing Address - Fax:718-291-0727
Practice Address - Street 1:14726 HILLSIDE AVE
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11435-3329
Practice Address - Country:US
Practice Address - Phone:718-291-0717
Practice Address - Fax:718-291-0727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336L0003XSuppliersPharmacyLong Term Care Pharmacy