Provider Demographics
NPI:1801985908
Name:MURAWSKI PHARMACY INC
Entity type:Organization
Organization Name:MURAWSKI PHARMACY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:MURAWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:R PH
Authorized Official - Phone:718-389-7600
Mailing Address - Street 1:94 98 NASSAU AVE
Mailing Address - Street 2:MURAWSKI PHARMACY INC
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11222
Mailing Address - Country:US
Mailing Address - Phone:718-389-7600
Mailing Address - Fax:718-349-2517
Practice Address - Street 1:94 98 NASSAU AVE
Practice Address - Street 2:MURAWSKI PHARMACY INC
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11222
Practice Address - Country:US
Practice Address - Phone:718-389-7600
Practice Address - Fax:718-349-2517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016459183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0025678Medicaid
NY0025678Medicaid