Provider Demographics
NPI:1700653201
Name:MDF PHARMACY INC.
Entity Type:Organization
Organization Name:MDF PHARMACY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISING PHARMACIST
Authorized Official - Prefix:
Authorized Official - First Name:DIXABAHEN
Authorized Official - Middle Name:MAHENDRABHAI
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-208-1639
Mailing Address - Street 1:164 E 174TH ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10457-6955
Mailing Address - Country:US
Mailing Address - Phone:347-270-2200
Mailing Address - Fax:347-270-2198
Practice Address - Street 1:164 E 174TH ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10457-6955
Practice Address - Country:US
Practice Address - Phone:347-270-2200
Practice Address - Fax:347-270-2198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-05
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy