MEDICARE: REMEDY MART PHARMACY INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	3336C0004X	Compounding Pharmacy
2	3336H0001X	Home Infusion Therapy Pharmacy
3	3336S0011X	Specialty Pharmacy
4	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1447064282
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REMEDY MART PHARMACY INC.

Provider Business Mailing Address
First Line	:	296 E 149TH ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10451-5612
Country	:	US
Telephone Number	:	718-483-8210
Fax Number	:	347-269-8910

Provider Business Practice Location Address
First Line	:	296 E 149TH ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10451-5612
Country	:	US
Telephone Number	:	718-483-8210
Fax Number	:	718-483-8224

Authorized Official
Title or Position	:	OWNER
Name	:	MARAWAN HASSAN EL TABIB
Credential	:	PHARM.D.
Telephone Number	:	347-571-1106

Provider Enumeration Date	:	02/03/2025
Last Update Date	:	09/04/2025

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