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NPI Code Detail

MEDICARE: DR. RUSHDAN ISLAM PHARM D.

MEDICARE:  DR. RUSHDAN  ISLAM  PHARM D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist065714NY

General Provider Information

NPI Number : 1023664349
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RUSHDAN ISLAM PHARM D.
Provider Business Mailing Address
First Line : 989 GLOUCESTER CT
Second Line :
City : WESTBURY
State : NY
Zip : 11590-5301
Country : US
Telephone Number : 516-849-8015
Fax Number :
Provider Business Practice Location Address
First Line : 3800 E TREMONT AVE
Second Line :
City : BRONX
State : NY
Zip : 10465-2455
Country : US
Telephone Number : 718-239-7900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2019
Last Update Date : 08/13/2019

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Directions to “ DR. RUSHDAN ISLAM PHARM D.” Practice Location

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