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Organization

M & M PHARMACY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARGO IGIN PHARM. (PHARMASICT)
(718) 997-8200
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
026169
NY
333600000X
Pharmacy
Primary
026169
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02426057
NY
01
026169
NYS LICENSE
NY
01
3333856
NABP #
NY
Enumeration date
10/24/2005
Last updated
04/28/2008
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