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NPI Code Detail

MEDICARE: PRIYA PHARMACY LTD

MEDICARE: PRIYA PHARMACY LTD
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
1333600000XPharmacy
23336C0003XCommunity/Retail Pharmacy021931NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22063769OTHERPK

General Provider Information

NPI Number : 1538170196
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRIYA PHARMACY LTD
Provider Business Mailing Address
First Line : 357 BROADWAY
Second Line :
City : AMITYVILLE
State : NY
Zip : 11701-2748
Country : US
Telephone Number : 631-789-4447
Fax Number : 631-789-4484
Provider Business Practice Location Address
First Line : 357 BROADWAY
Second Line :
City : AMITYVILLE
State : NY
Zip : 11701-2748
Country : US
Telephone Number : 631-789-4447
Fax Number : 631-789-4484
Authorized Official
Title or Position : PRESIDENT
Name : JITENDRA PATEL
Credential : RPH
Telephone Number : 631-789-4447
Provider Enumeration Date : 08/10/2006
Last Update Date : 03/29/2016

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Directions to “PRIYA PHARMACY LTD ” Practice Location

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