Provider Demographics
NPI:1508648387
Name:MSC PHARMACY INC
Entity Type:Organization
Organization Name:MSC PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAIRA
Authorized Official - Middle Name:S
Authorized Official - Last Name:CHOUDHARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-722-0821
Mailing Address - Street 1:914 COLUMBUS AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-4040
Mailing Address - Country:US
Mailing Address - Phone:212-663-7440
Mailing Address - Fax:212-663-7443
Practice Address - Street 1:914 COLUMBUS AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-4040
Practice Address - Country:US
Practice Address - Phone:212-663-7440
Practice Address - Fax:212-663-7443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-17
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy