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NPI Code Detail

MEDICARE: TAS PHARMACY INC

MEDICARE: TAS 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
1333600000XPharmacy032054NY

General Provider Information

NPI Number : 1265864912
Entity Type Code : Organization
Provider Name (Legal Business Name) : TAS PHARMACY INC
Provider Business Mailing Address
First Line : 445 NORTH ST ROUTE 17 M
Second Line :
City : MIDDLETOWN
State : NY
Zip : 10940-0000
Country : US
Telephone Number : 845-344-4050
Fax Number : 845-344-4402
Provider Business Practice Location Address
First Line : 445 NORTH ST ROUTE 17 M
Second Line :
City : MIDDLETOWN
State : NY
Zip : 10940-0000
Country : US
Telephone Number : 845-344-4050
Fax Number : 845-344-4402
Authorized Official
Title or Position : VICE PRESIDENT
Name : MR. MUHAMMAD S RAHMAN
Credential :
Telephone Number : 845-800-5453
Provider Enumeration Date : 08/05/2013
Last Update Date : 08/05/2013

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Directions to “TAS PHARMACY INC ” Practice Location

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