Healthcare Provider Details

I. General information

NPI: 1902897093
Provider Name (Legal Business Name): M & N PHARMACY CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2005
Last Update Date: 08/29/2024
Certification Date: 08/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

662 MORRIS PARK AVE
BRONX NY
10462-3503
US

IV. Provider business mailing address

662 MORRIS PARK AVE
BRONX NY
10462-3503
US

V. Phone/Fax

Practice location:
  • Phone: 718-597-3380
  • Fax: 718-597-0094
Mailing address:
  • Phone: 718-597-3380
  • Fax: 718-597-0094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number023081
License Number StateNY

VIII. Authorized Official

Name: MR. MAHMOUD H TEHFE
Title or Position: OWNER
Credential: RPH
Phone: 718-597-3380