Provider Demographics
NPI:1780418962
Name:FM PHARMACY CORP
Entity type:Organization
Organization Name:FM PHARMACY CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAUDHARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-212-7752
Mailing Address - Street 1:6822 FRESH MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11365-3421
Mailing Address - Country:US
Mailing Address - Phone:718-299-2103
Mailing Address - Fax:718-691-4031
Practice Address - Street 1:6822 FRESH MEADOW LN
Practice Address - Street 2:
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11365-3421
Practice Address - Country:US
Practice Address - Phone:718-299-2103
Practice Address - Fax:718-691-4031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-29
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies