Provider Demographics
NPI:1174668800
Name:M & C DRUG INC
Entity Type:Organization
Organization Name:M & C DRUG INC
Other - Org Name:HARDING PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MYRON
Authorized Official - Middle Name:FRANK
Authorized Official - Last Name:LESH
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:201-444-4500
Mailing Address - Street 1:PO BOX 762
Mailing Address - Street 2:305 EAST RIDGEWOOD AVENUE
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07451-1762
Mailing Address - Country:US
Mailing Address - Phone:201-444-4500
Mailing Address - Fax:201-444-2720
Practice Address - Street 1:305 EAST RIDGEWOOD AVENUE
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07451-1762
Practice Address - Country:US
Practice Address - Phone:201-444-4500
Practice Address - Fax:201-444-2720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RS00325500183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4338511Medicaid
3124221Medicare UPIN
NJ4338511Medicaid