Provider Demographics
NPI:1952063133
Name:MASE PHARMACY INC
Entity Type:Organization
Organization Name:MASE PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARTOUR
Authorized Official - Middle Name:
Authorized Official - Last Name:KHATCHATOURIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-304-0295
Mailing Address - Street 1:1666 BOSTON RD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10460-4916
Mailing Address - Country:US
Mailing Address - Phone:718-304-0295
Mailing Address - Fax:718-304-0294
Practice Address - Street 1:1666 BOSTON RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10460-4916
Practice Address - Country:US
Practice Address - Phone:718-304-0295
Practice Address - Fax:718-304-0294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-06
Last Update Date:2022-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy