Organization
MR M PHARMACY INC
Active
Other names
99 Cents Top Grade
Organization subpart
No
Provider details
NPI number
Authorized official
MOSHE MOLKANDOW (PRESIDENT)
(718) 822-2905
Entity
Organization
Contact information
Practice address
1903 STORY AVE, BRONX, NY 10473-2705
(718) 822-2905
(718) 822-2924
Mailing address
1903 STORY AVE, BRONX, NY 10473-2705
(718) 822-2905
(718) 822-2924
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
035603
NY
3336M0002X
Mail Order Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2170572
PK
—
Enumeration date
06/21/2017
Last updated
11/11/2020
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