MEDICARE: FRIENDLY CARE 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		NY

General Provider Information

NPI Number	:	1528486966
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRIENDLY CARE PHARMACY INC

Provider Business Mailing Address
First Line	:	322 E 194TH ST
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10458-4304
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2614 DECATUR AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10458-4804
Country	:	US
Telephone Number	:	718-584-6561
Fax Number	:	718-584-6571

Authorized Official
Title or Position	:	CO- OWNER
Name	:	MR. SHAHID LATIF
Credential	:
Telephone Number	:	201-220-3260

Provider Enumeration Date	:	04/02/2014
Last Update Date	:	01/15/2025

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