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NPI Code Detail

MEDICARE: SKYPAN PHARMACIES INC

MEDICARE: SKYPAN PHARMACIES 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
1183500000XPharmacist023852NY

Other Identifiers

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

General Provider Information

NPI Number : 1093858730
Entity Type Code : Organization
Provider Name (Legal Business Name) : SKYPAN PHARMACIES INC
Provider Business Mailing Address
First Line : 11112 MERRICK BLVD
Second Line :
City : JAMAICA
State : NY
Zip : 11433-4016
Country : US
Telephone Number : 718-657-7272
Fax Number :
Provider Business Practice Location Address
First Line : 11112 MERRICK BLVD
Second Line :
City : JAMAICA
State : NY
Zip : 11433-4016
Country : US
Telephone Number : 718-657-7272
Fax Number :
Authorized Official
Title or Position : SUPERVISIN PHARMACIST
Name : NATACHA AUGUSTIN
Credential : RPH
Telephone Number : 718-657-7272
Provider Enumeration Date : 02/14/2007
Last Update Date : 08/22/2020

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Directions to “SKYPAN PHARMACIES INC ” Practice Location

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