Healthcare Provider Details

I. General information

NPI: 1497617294
Provider Name (Legal Business Name): AMA PHARMACY GROUP CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1717 E 12TH ST
BROOKLYN NY
11229-1013
US

IV. Provider business mailing address

1717 E 12TH ST
BROOKLYN NY
11229-1013
US

V. Phone/Fax

Practice location:
  • Phone: 347-240-7864
  • Fax: 347-240-7863
Mailing address:
  • Phone: 347-240-7864
  • Fax: 347-240-7863

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. MOHAMED BAHLOOL
Title or Position: PRESIDENT
Credential:
Phone: 347-240-7864