MEDICARE: AAA 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	332B00000X	Durable Medical Equipment & Medical Supplies
2	333600000X	Pharmacy
3	3336C0003X	Community/Retail Pharmacy	030086	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2125379	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093046039
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AAA PHARMACY INC

Provider Business Mailing Address
First Line	:	3513 WHITE PLAINS RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10467-5705
Country	:	US
Telephone Number	:	718-231-2471
Fax Number	:	718-231-2652

Provider Business Practice Location Address
First Line	:	3513 WHITE PLAINS RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10467-5705
Country	:	US
Telephone Number	:	718-231-2471
Fax Number	:	718-231-2652

Authorized Official
Title or Position	:	OWNER
Name	:	KUNAL KOYA
Credential	:
Telephone Number	:	718-231-2471

Provider Enumeration Date	:	01/14/2010
Last Update Date	:	07/19/2018

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Directions to “AAA PHARMACY INC ” Practice Location

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