MEDICARE: Y AND Z 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
2	3336C0003X	Community/Retail Pharmacy	022955	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	2060926	OTHER		PK

General Provider Information

NPI Number	:	1639247877
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	Y AND Z PHARMACY INC

Provider Business Mailing Address
First Line	:	1901 AVENUE M
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-6201
Country	:	US
Telephone Number	:	718-377-1680
Fax Number	:	718-951-7520

Provider Business Practice Location Address
First Line	:	1901 AVENUE M
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-6201
Country	:	US
Telephone Number	:	718-377-1680
Fax Number	:	718-951-7520

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MOHAMMAD RAHMAN
Credential	:	MASTERS IN PHAR
Telephone Number	:	718-337-1680

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	02/27/2017

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Directions to “Y AND Z PHARMACY INC ” Practice Location

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