# MOURAD DRUG CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** VALLEY PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770991226
- **Authorized official:** AKRUM MOURAD RPH (PHARMACIST/OWNER)
- **Authorized official phone:** (212) 991-8857

## Contact information

- **Practice address:** 312 MAIN STREET, MIDDLEBURGH, NY 12122
- **Practice address phone:** (518) 702-4176
- **Mailing address:** PO BOX 978, MIDDLEBURGH, NY 12122-0978
- **Mailing address phone:** (518) 702-4176

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 07/29/2014
- **Last updated:** 12/29/2014