MEDICARE: AR & MR PHARMACY INC

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
1	3336C0003X	Community/Retail Pharmacy

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053344291
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AR & MR PHARMACY INC

Provider Business Mailing Address
First Line	:	1942 86TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-3135
Country	:	US
Telephone Number	:	718-234-2500
Fax Number	:	718-234-3679

Provider Business Practice Location Address
First Line	:	1942 86TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-3135
Country	:	US
Telephone Number	:	718-234-2500
Fax Number	:	718-234-3679

Authorized Official
Title or Position	:	SUPERVISING PHARMACIST
Name	:	MR. ALEKSANDR ROZENBAUM
Credential	:	RPH
Telephone Number	:	718-234-2500

Provider Enumeration Date	:	07/09/2006
Last Update Date	:	06/14/2010

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