Provider Demographics
NPI:1467900860
Name:MEDS4DAYS PHARMACY INC
Entity Type:Organization
Organization Name:MEDS4DAYS PHARMACY INC
Other - Org Name:CROTONA PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRITTNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-688-1102
Mailing Address - Street 1:1384 BOSTON RD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10456-2541
Mailing Address - Country:US
Mailing Address - Phone:917-688-1102
Mailing Address - Fax:917-688-1104
Practice Address - Street 1:1384 BOSTON RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10456-2541
Practice Address - Country:US
Practice Address - Phone:917-688-1102
Practice Address - Fax:917-688-1104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-14
Last Update Date:2016-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031218333600000X
3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2166045OtherPK
NY03911768Medicaid