MEDICARE: MEDS4DAYS 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	3336C0003X	Community/Retail Pharmacy
2	333600000X	Pharmacy	031218	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2166045	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467900860
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDS4DAYS PHARMACY INC

Provider Business Mailing Address
First Line	:	1384 BOSTON RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10456-2541
Country	:	US
Telephone Number	:	917-688-1102
Fax Number	:	917-688-1104

Provider Business Practice Location Address
First Line	:	1384 BOSTON RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10456-2541
Country	:	US
Telephone Number	:	917-688-1102
Fax Number	:	917-688-1104

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BRITTNEY COLEMAN
Credential	:
Telephone Number	:	917-688-1102

Provider Enumeration Date	:	09/14/2016
Last Update Date	:	12/18/2016

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