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NPI Code Detail

MEDICARE: SUMARA MUKHTAR PHARMD

MEDICARE: SUMARA MUKHTAR PHARMD
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
1183500000XPharmacist052934NY

General Provider Information

NPI Number : 1043462179
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUMARA MUKHTAR PHARMD
Provider Business Mailing Address
First Line : 180 W 20TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10011-3649
Country : US
Telephone Number : 212-243-0129
Fax Number : 212-243-2467
Provider Business Practice Location Address
First Line : 180 W 20TH ST
Second Line :
City : NEW YORK
State : NY
Zip : 10011-3649
Country : US
Telephone Number : 212-243-0129
Fax Number : 212-243-2467
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2008
Last Update Date : 07/14/2011

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Directions to “ SUMARA MUKHTAR PHARMD” Practice Location

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