Individual provider · Type 1 NPI

Suboor Azimi

Pharmacist · Glen Cove, NY

NPI number 1003545377 Active

Practice location

101 Saint Andrews Ln
Glen Cove, NY 11542-2263

Mailing address

1 Priscilla Ln
Port Jefferson Station, NY 11776-4219

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X068386 (NY)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1003545377

Suboor Azimi's National Provider Identifier is 1003545377, issued on Jun 10, 2022. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Glen Cove, NY. The record was last updated on Jun 10, 2022.