MEDICARE: D&A 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	333600000X	Pharmacy	025610	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	:	1194856823
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	D&A PHARMACY INC.

Provider Business Mailing Address
First Line	:	8024 NORTHERN BLVD
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-1345
Country	:	US
Telephone Number	:	718-597-3238
Fax Number	:	718-507-4348

Provider Business Practice Location Address
First Line	:	8024 NORTHERN BLVD
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-1345
Country	:	US
Telephone Number	:	718-597-3238
Fax Number	:	718-507-4348

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. MASUDA SAJEDEEN
Credential	:
Telephone Number	:	718-507-4248

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	08/22/2020

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Directions to “D&A PHARMACY INC. ” Practice Location

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