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NPI Code Detail

MEDICARE: MR. MOUSSA KATRI RPH

MEDICARE:  MR. MOUSSA  KATRI  RPH
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
1183500000XPharmacist048255NY

General Provider Information

NPI Number : 1326143025
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MOUSSA KATRI RPH
Provider Business Mailing Address
First Line : 2153 E 8TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-4941
Country : US
Telephone Number : 718-382-1233
Fax Number : 718-871-0093
Provider Business Practice Location Address
First Line : 3814 13TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11218-3604
Country : US
Telephone Number : 718-854-7722
Fax Number : 718-871-0093
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2006
Last Update Date : 07/08/2007

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Directions to “ MR. MOUSSA KATRI RPH” Practice Location

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