Healthcare Provider Details

I. General information

NPI: 1467900860
Provider Name (Legal Business Name): MEDS4DAYS PHARMACY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2016
Last Update Date: 12/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1384 BOSTON RD
BRONX NY
10456-2541
US

IV. Provider business mailing address

1384 BOSTON RD
BRONX NY
10456-2541
US

V. Phone/Fax

Practice location:
  • Phone: 917-688-1102
  • Fax: 917-688-1104
Mailing address:
  • Phone: 917-688-1102
  • Fax: 917-688-1104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License Number031218
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: BRITTNEY COLEMAN
Title or Position: PRESIDENT
Credential:
Phone: 917-688-1102