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NPI Code Detail

MEDICARE: ISLAND PHARMACY & SURGICAL INC.

MEDICARE: ISLAND PHARMACY & SURGICAL 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
1183500000XPharmacistNY

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 : 1255491148
Entity Type Code : Organization
Provider Name (Legal Business Name) : ISLAND PHARMACY & SURGICAL INC.
Provider Business Mailing Address
First Line : 5121 CHURCH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-3511
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5121 CHURCH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-3511
Country : US
Telephone Number : 718-345-6588
Fax Number :
Authorized Official
Title or Position : PHARMACIST
Name : MR. JABBAR AHMAD
Credential : R.PH
Telephone Number : 718-345-6588
Provider Enumeration Date : 12/11/2006
Last Update Date : 07/21/2022

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