MEDICARE: MAZAL 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
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1023773421
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAZAL PHARMACY, INC

Provider Business Mailing Address
First Line	:	7144 MAIN ST
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11367-2023
Country	:	US
Telephone Number	:	718-487-3050
Fax Number	:	718-487-3531

Provider Business Practice Location Address
First Line	:	7144 MAIN ST
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11367-2023
Country	:	US
Telephone Number	:	718-487-3050
Fax Number	:	718-487-3531

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SOLOMON MOSES
Credential	:
Telephone Number	:	718-487-3050

Provider Enumeration Date	:	11/02/2021
Last Update Date	:	11/02/2021

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Directions to “MAZAL PHARMACY, INC ” Practice Location

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