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NPI Code Detail

MEDICARE: ESTABLISHED DRUGS INC

MEDICARE: ESTABLISHED DRUGS 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
13336C0003XCommunity/Retail Pharmacy020696NY

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 : 1366652109
Entity Type Code : Organization
Provider Name (Legal Business Name) : ESTABLISHED DRUGS INC
Provider Business Mailing Address
First Line : 1233 NOSTRAND AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11225-3844
Country : US
Telephone Number : 718-284-8413
Fax Number : 718-284-8414
Provider Business Practice Location Address
First Line : 1233 NOSTRAND AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11225-3844
Country : US
Telephone Number : 718-284-8413
Fax Number : 718-284-8414
Authorized Official
Title or Position : PRESIDENT
Name : SAAD FOZI
Credential :
Telephone Number : 718-284-8413
Provider Enumeration Date : 05/23/2007
Last Update Date : 06/29/2022

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