MEDICARE: I & O PHARMACY CORP.

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		NY

General Provider Information

NPI Number	:	1699802934
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	I & O PHARMACY CORP.

Provider Business Mailing Address
First Line	:	669 MANHATTAN AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11222-3113
Country	:	US
Telephone Number	:	718-349-6696
Fax Number	:	718-349-6697

Provider Business Practice Location Address
First Line	:	669 MANHATTAN AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11222-3113
Country	:	US
Telephone Number	:	718-349-6696
Fax Number	:	718-349-6697

Authorized Official
Title or Position	:	PRESIDENT
Name	:	IRINA KOGAN
Credential	:
Telephone Number	:	718-349-6696

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	08/22/2020

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Directions to “I & O PHARMACY CORP. ” Practice Location

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