Provider Demographics
NPI:1801587993
Name:M&A PHARMACY AND MED SUPPLIES
Entity type:Organization
Organization Name:M&A PHARMACY AND MED SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKHAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:PLISHTIYEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-304-5893
Mailing Address - Street 1:3A BOND ST
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-2408
Mailing Address - Country:US
Mailing Address - Phone:516-304-5893
Mailing Address - Fax:
Practice Address - Street 1:3A BOND ST
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-2408
Practice Address - Country:US
Practice Address - Phone:516-304-5893
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-18
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy