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NPI Code Detail

MEDICARE: DR. INES MAGALI MBAMI PHARMD

MEDICARE: DR. INES MAGALI MBAMI 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
1183500000XPharmacistPH240693MA

General Provider Information

NPI Number : 1215684956
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. INES MAGALI MBAMI PHARMD
Provider Business Mailing Address
First Line : 929 ARSENAL ST
Second Line :
City : WATERTOWN
State : NY
Zip : 13601-2305
Country : US
Telephone Number : 215-788-0309
Fax Number : 315-788-1702
Provider Business Practice Location Address
First Line : 929 ARSENAL ST
Second Line :
City : WATERTOWN
State : NY
Zip : 13601-2305
Country : US
Telephone Number : 315-788-0309
Fax Number : 315-788-1702
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2022
Last Update Date : 02/27/2025

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