Provider Demographics
NPI:1184197030
Name:MEGACARE PHARMACY INC
Entity Type:Organization
Organization Name:MEGACARE PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOISEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SULEYMANOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-309-7272
Mailing Address - Street 1:315 E KINGSBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10458-4443
Mailing Address - Country:US
Mailing Address - Phone:718-684-5088
Mailing Address - Fax:
Practice Address - Street 1:315 E KINGSBRIDGE RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458-4443
Practice Address - Country:US
Practice Address - Phone:718-684-5088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-03
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy