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NPI Code Detail

MEDICARE: HASTINGS DRUG CORP

MEDICARE: HASTINGS DRUG CORP
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 Pharmacy012671NY

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 : 1710989553
Entity Type Code : Organization
Provider Name (Legal Business Name) : HASTINGS DRUG CORP
Provider Business Mailing Address
First Line : 2061 ATLANTIC AVENUE
Second Line :
City : BROOKLYN
State : NY
Zip : 11233-3202
Country : US
Telephone Number : 718-485-5095
Fax Number : 718-485-5097
Provider Business Practice Location Address
First Line : 2061 ATLANTIC AVENUE
Second Line :
City : BROOKLYN
State : NY
Zip : 11233-3202
Country : US
Telephone Number : 718-485-5095
Fax Number : 718-485-5097
Authorized Official
Title or Position : SUPERVISING PHARMACIST
Name : MRS. SHAZIA BHATTI
Credential : RPH
Telephone Number : 718-485-5095
Provider Enumeration Date : 08/11/2005
Last Update Date : 03/13/2008

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Directions to “HASTINGS DRUG CORP ” Practice Location

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