MEDICARE: MF PHARMACY

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	183500000X	Pharmacist	048521	NY

General Provider Information

NPI Number	:	1942350590
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MF PHARMACY

Provider Business Mailing Address
First Line	:	309 CHURCH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11218-3105
Country	:	US
Telephone Number	:	718-871-1112
Fax Number	:	718-871-5263

Provider Business Practice Location Address
First Line	:	309 CHURCH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11218-3105
Country	:	US
Telephone Number	:	718-871-1112
Fax Number	:	718-871-5263

Authorized Official
Title or Position	:	OWNER
Name	:	MR. MORRIS FATIHA
Credential	:	RPH
Telephone Number	:	718-871-1112

Provider Enumeration Date	:	01/12/2007
Last Update Date	:	08/22/2020

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