Provider Demographics
NPI:1790777522
Name:S AND M DRUGS, INC.
Entity Type:Organization
Organization Name:S AND M DRUGS, INC.
Other - Org Name:BRIDGE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CILENTO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:718-836-1400
Mailing Address - Street 1:8912 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-5706
Mailing Address - Country:US
Mailing Address - Phone:718-836-1400
Mailing Address - Fax:718-836-0086
Practice Address - Street 1:8912 3RD AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-5706
Practice Address - Country:US
Practice Address - Phone:718-836-1400
Practice Address - Fax:718-836-0086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023769333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01878835Medicaid
NY01878835Medicaid