Provider Demographics
NPI:1942350590
Name:MF PHARMACY
Entity Type:Organization
Organization Name:MF PHARMACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MORRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:FATIHA
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:718-871-1112
Mailing Address - Street 1:309 CHURCH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-3105
Mailing Address - Country:US
Mailing Address - Phone:718-871-1112
Mailing Address - Fax:718-871-5263
Practice Address - Street 1:309 CHURCH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-3105
Practice Address - Country:US
Practice Address - Phone:718-871-1112
Practice Address - Fax:718-871-5263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048521183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty