MEDICARE: MORALES PHARMACY INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	017229	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083640411
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MORALES PHARMACY INC.

Provider Business Mailing Address
First Line	:	1412A JEROME AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10452-3306
Country	:	US
Telephone Number	:	718-293-5832
Fax Number	:	718-293-6349

Provider Business Practice Location Address
First Line	:	1412A JEROME AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10452-3306
Country	:	US
Telephone Number	:	718-293-5832
Fax Number	:	718-293-6349

Authorized Official
Title or Position	:	PHARMACIST-IN-CHARGE
Name	:	MRS. SHARON MOLANO
Credential	:	R-PH
Telephone Number	:	718-293-5832

Provider Enumeration Date	:	06/25/2006
Last Update Date	:	11/12/2024

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Directions to “MORALES PHARMACY INC. ” Practice Location

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