Provider Demographics
NPI:1407329873
Name:MY PHARMACY INC.
Entity Type:Organization
Organization Name:MY PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MUSHTAQ
Authorized Official - Middle Name:A
Authorized Official - Last Name:MUGHAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-281-7408
Mailing Address - Street 1:523 MALCOLM X BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10037-1808
Mailing Address - Country:US
Mailing Address - Phone:212-281-7408
Mailing Address - Fax:212-283-4777
Practice Address - Street 1:523 MALCOLM X BLVD
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037-1808
Practice Address - Country:US
Practice Address - Phone:212-281-7408
Practice Address - Fax:212-283-4777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-08
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy