Provider Demographics
NPI:1063697191
Name:A & T PHARMACY INC
Entity type:Organization
Organization Name:A & T PHARMACY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MURATOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-614-6859
Mailing Address - Street 1:144 01 JAMAICA AVE
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11435
Mailing Address - Country:US
Mailing Address - Phone:718-530-9022
Mailing Address - Fax:718-530-9023
Practice Address - Street 1:144 01 JAMAICA AVE
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11435
Practice Address - Country:US
Practice Address - Phone:718-530-9022
Practice Address - Fax:718-530-9023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-08
Last Update Date:2011-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0286843336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3357250OtherNCPDP PROVIDER IDENTIFICATION NUMBER
3357250OtherNCPDP PROVIDER IDENTIFICATION NUMBER