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NPI Code Detail

MEDICARE: MORRIS PARK PHARMACY INC

MEDICARE: MORRIS PARK 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
13336L0003XLong Term Care Pharmacy

General Provider Information

NPI Number : 1528923570
Entity Type Code : Organization
Provider Name (Legal Business Name) : MORRIS PARK PHARMACY INC
Provider Business Mailing Address
First Line : 1160 E TREMONT AVE
Second Line :
City : BRONX
State : NY
Zip : 10460-2433
Country : US
Telephone Number : 631-458-7258
Fax Number : 631-458-7259
Provider Business Practice Location Address
First Line : 1160 E TREMONT AVE
Second Line :
City : BRONX
State : NY
Zip : 10460-2433
Country : US
Telephone Number : 631-458-7258
Fax Number : 631-458-7259
Authorized Official
Title or Position : OWNER
Name : YAHIA AHMED ALDAILAM SR.
Credential :
Telephone Number : 631-458-7258
Provider Enumeration Date : 12/22/2025
Last Update Date : 12/22/2025

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