# MODERN PHARMACY INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Modern Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225848781
- **Authorized official:** SHAGATA NATH (OWNER)
- **Authorized official phone:** (718) 282-7660

## Contact information

- **Practice address:** 9502 VAN WYCK EXPY, SOUTH RICHMOND HILL, NY 11419-1638
- **Practice address phone:** (888) 585-6874
- **Mailing address:** 9502 VAN WYCK EXPY, SOUTH RICHMOND HILL, NY 11419-1638
- **Mailing address phone:** (888) 585-6874

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/08/2025
- **Last updated:** 01/13/2025