Organization
M & A PHARMACY CORP
Active
Other names
MEDEX PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT BARON (VP PHARMACIST)
(718) 805-7000
Entity
Organization
Contact information
Practice address
96 02 JAMAICA AVE, WOODHAVEN, NY 11421
(718) 805-7000
(718) 805-0257
Mailing address
96 02 JAMAICA AVE, WOODHAVEN, NY 11421
(718) 805-7000
(718) 805-0257
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
025512
NY
3336C0004X
Compounding Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02348112
—
NY
01
—
2064772
PK
—
Enumeration date
06/14/2006
Last updated
11/30/2016
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