# M & M PHARMACY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164412953
- **Authorized official:** MRS. MARGO IGIN PHARM. (PHARMASICT)
- **Authorized official phone:** (718) 997-8200

## Contact information

- **Practice address:** 10104 QUEENS BLVD, FOREST HILLS, NY 11375-2749
- **Practice address phone:** (718) 997-8200
- **Practice address fax:** (718) 997-8080
- **Mailing address:** 10104 QUEENS BLVD, FOREST HILLS, NY 11375-2749
- **Mailing address phone:** (718) 997-8200
- **Mailing address fax:** (718) 997-8080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 026169 | NY | — |
| 333600000X | Pharmacy | 026169 | NY | Yes |

## Other

- **Enumeration date:** 10/24/2005
- **Last updated:** 04/28/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02426057 | — | NY |
| 01 | — | 026169 | NYS LICENSE | NY |
| 01 | — | 3333856 | NABP \# | NY |