MEDICARE: IN N OUT PHARMACY CORP

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

General Provider Information

NPI Number	:	1144105594
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IN N OUT PHARMACY CORP

Provider Business Mailing Address
First Line	:	3511A QUENTIN RD
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-4230
Country	:	US
Telephone Number	:	516-559-7000
Fax Number	:

Provider Business Practice Location Address
First Line	:	3511A QUENTIN RD
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-4230
Country	:	US
Telephone Number	:	516-559-7000
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NATIK ISAKOV
Credential	:
Telephone Number	:	516-559-7000

Provider Enumeration Date	:	08/06/2025
Last Update Date	:	08/06/2025

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Directions to “IN N OUT PHARMACY CORP ” Practice Location

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