MEDICARE: FAMILY CARE NY 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	035914	NY

General Provider Information

NPI Number	:	1528566551
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY CARE NY PHARMACY INC

Provider Business Mailing Address
First Line	:	170 AVENUE U
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-3740
Country	:	US
Telephone Number	:	718-946-0101
Fax Number	:	718-946-7588

Provider Business Practice Location Address
First Line	:	170 AVENUE U
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-3740
Country	:	US
Telephone Number	:	718-946-0101
Fax Number	:	718-946-7588

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MISS AFSHAN AAMIR
Credential	:
Telephone Number	:	718-946-0101

Provider Enumeration Date	:	01/24/2018
Last Update Date	:	01/24/2018

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