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NPI Code Detail

MEDICARE: HARLEM PHARMACY INC

MEDICARE: HARLEM 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
1333600000XPharmacy025606NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14956760001OTHERNYMEDICARE PROVIDER NUMBER

General Provider Information

NPI Number : 1538220629
Entity Type Code : Organization
Provider Name (Legal Business Name) : HARLEM PHARMACY INC
Provider Business Mailing Address
First Line : 17 WEST 125TH STREET
Second Line : HARLEM PHARMACY INC
City : NEW YORK
State : NY
Zip : 10027-4513
Country : US
Telephone Number : 212-831-0200
Fax Number : 212-831-0230
Provider Business Practice Location Address
First Line : 17 WEST 125TH STREET
Second Line : HARLEM PHARMACY INC
City : NEW YORK
State : NY
Zip : 10027-4513
Country : US
Telephone Number : 212-831-0200
Fax Number : 212-831-0230
Authorized Official
Title or Position : PATNER
Name : MR. NIKHIL PATEL
Credential :
Telephone Number : 212-831-0200
Provider Enumeration Date : 12/12/2006
Last Update Date : 10/22/2010

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Directions to “HARLEM PHARMACY INC ” Practice Location

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