MEDICARE: MILFORD 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

General Provider Information

NPI Number	:	1730950437
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILFORD PHARMACY INC

Provider Business Mailing Address
First Line	:	2582 PITKIN AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11208-2678
Country	:	US
Telephone Number	:	718-210-1468
Fax Number	:	718-210-1478

Provider Business Practice Location Address
First Line	:	2582 PITKIN AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11208-2678
Country	:	US
Telephone Number	:	718-210-1468
Fax Number	:	718-210-1478

Authorized Official
Title or Position	:	OWNER
Name	:	MR. HASSAN BUTT
Credential	:
Telephone Number	:	347-586-8091

Provider Enumeration Date	:	01/11/2024
Last Update Date	:	01/11/2024

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