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NPI Code Detail

MEDICARE: BRUNO EIRA PHARMD

MEDICARE: BRUNO EIRA PHARMD
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
1183500000XPharmacist056084NY

General Provider Information

NPI Number : 1720362700
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRUNO EIRA PHARMD
Provider Business Mailing Address
First Line : 2474 HEMPSTEAD TPKE
Second Line :
City : EAST MEADOW
State : NY
Zip : 11554-2136
Country : US
Telephone Number : 516-731-2483
Fax Number :
Provider Business Practice Location Address
First Line : 2474 HEMPSTEAD TPKE
Second Line :
City : EAST MEADOW
State : NY
Zip : 11554-2136
Country : US
Telephone Number : 516-731-2483
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2011
Last Update Date : 12/06/2014

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