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NPI Code Detail

MEDICARE: SURFSIDE PHARMACY LLC

MEDICARE: SURFSIDE PHARMACY LLC
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
13336C0003XCommunity/Retail Pharmacy

General Provider Information

NPI Number : 1205681442
Entity Type Code : Organization
Provider Name (Legal Business Name) : SURFSIDE PHARMACY LLC
Provider Business Mailing Address
First Line : 3163 CONEY ISLAND AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-6443
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3163 CONEY ISLAND AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-6443
Country : US
Telephone Number : 646-736-9844
Fax Number :
Authorized Official
Title or Position : PHARMACIST
Name : ADEEL TOPPA
Credential : PHARMD
Telephone Number : 718-500-4945
Provider Enumeration Date : 04/22/2024
Last Update Date : 01/24/2025

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Directions to “SURFSIDE PHARMACY LLC ” Practice Location

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