MEDICARE: FRANKMART PHARMACY

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
1	3336C0003X	Community/Retail Pharmacy	020025	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	020025	OTHER	NY	PHARMACY REGISTRATION

General Provider Information

NPI Number	:	1437214186
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANKMART PHARMACY

Provider Business Mailing Address
First Line	:	7817 MYRTLE AVE
Second Line	:
City	:	GLENDALE
State	:	NY
Zip	:	11385-7439
Country	:	US
Telephone Number	:	718-821-6260
Fax Number	:	718-821-3848

Provider Business Practice Location Address
First Line	:	7817 MYRTLE AVE
Second Line	:
City	:	GLENDALE
State	:	NY
Zip	:	11385-7439
Country	:	US
Telephone Number	:	718-821-6260
Fax Number	:	718-821-3848

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SYED TASEER
Credential	:
Telephone Number	:	718-821-6260

Provider Enumeration Date	:	12/23/2006
Last Update Date	:	02/20/2008

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Directions to “FRANKMART PHARMACY ” Practice Location

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