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NPI Code Detail

MEDICARE: NYC PHARMACY INC

MEDICARE: NYC 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
1333600000XPharmacy025666NY
23336C0003XCommunity/Retail Pharmacy025666NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13330141OTHERNYNCPDP
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609912088
Entity Type Code : Organization
Provider Name (Legal Business Name) : NYC PHARMACY INC
Provider Business Mailing Address
First Line : 203 E 121ST ST
Second Line : STORE# 2
City : NEW YORK
State : NY
Zip : 10035-3018
Country : US
Telephone Number : 212-369-8082
Fax Number : 212-369-8083
Provider Business Practice Location Address
First Line : 203 E 121ST ST
Second Line : STORE# 2
City : NEW YORK
State : NY
Zip : 10035-3018
Country : US
Telephone Number : 212-369-8082
Fax Number : 212-369-8083
Authorized Official
Title or Position : PRESIDENT
Name : MS. HIN TAT WONG I
Credential : PHARMACIST
Telephone Number : 212-369-8082
Provider Enumeration Date : 01/30/2007
Last Update Date : 09/24/2013

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