MEDICARE: FARMARITE DRUGS 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
1	333600000X	Pharmacy

General Provider Information

NPI Number	:	1780022129
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FARMARITE DRUGS INC

Provider Business Mailing Address
First Line	:	93-12 ROOSEVELT AVE
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-7944
Country	:	US
Telephone Number	:	718-672-9700
Fax Number	:	718-672-9701

Provider Business Practice Location Address
First Line	:	93-12 ROOSEVELT AVE
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-7944
Country	:	US
Telephone Number	:	718-672-9700
Fax Number	:	718-672-9701

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MOHAMMAD NASEEM RANA
Credential	:
Telephone Number	:	718-672-9700

Provider Enumeration Date	:	06/07/2013
Last Update Date	:	12/19/2013

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