Modern Pharmacy Incorporated
NPI #1275275885 in South Richmond Hill, New York
Provider Information
- NPI Number
- 1275275885
- Entity Type
- Organization
- Organization Name
- Modern Pharmacy Incorporated
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Apr 13, 2022
- Last Updated
- Feb 28, 2023
Practice Location
- Address
- 9502 VAN WYCK EXPY
- State
- New York
- ZIP Code
- 11419-1638
- Phone
- (888) 585-6874
Authorized Official
- Name
- SHAGATA NATH
- Title
- PRESIDENT/ SUPERVISING PHARMACIST
- Phone
- (917) 258-1753
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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