Organization
MADINA PHARMACY INC
Active
Other names
Madina Pharmacy Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD KHAN (VICE PRESIDENT)
(347) 260-9192
Entity
Organization
Contact information
Practice address
1105 BROADWAY ST STE 8, BUFFALO, NY 14212-1511
(716) 242-2433
(716) 424-2434
Mailing address
1105 BROADWAY ST STE 8, BUFFALO, NY 14212-1511
(716) 242-2433
(716) 424-2434
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
034224
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2157460
PK
—
Enumeration date
01/08/2016
Last updated
12/12/2016
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