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NPI Code Detail

MEDICARE: A&S DRUG STORE INC

MEDICARE: A&S DRUG STORE 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
1332BC3200XCustomized Equipment (DME)18074NY
2332B00000XDurable Medical Equipment & Medical Supplies18074NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
23380730OTHERNABP

General Provider Information

NPI Number : 1821272725
Entity Type Code : Organization
Provider Name (Legal Business Name) : A&S DRUG STORE INC
Provider Business Mailing Address
First Line : 1043 HICKSVILLE RD
Second Line :
City : SEAFORD
State : NY
Zip : 11783-1327
Country : US
Telephone Number : 516-735-2094
Fax Number : 516-735-2092
Provider Business Practice Location Address
First Line : 1043 HICKSVILLE RD
Second Line :
City : SEAFORD
State : NY
Zip : 11783-1327
Country : US
Telephone Number : 516-735-2094
Fax Number : 516-735-2092
Authorized Official
Title or Position : PRESIDENT
Name : MR. AMIN M LADHA
Credential :
Telephone Number : 516-735-2094
Provider Enumeration Date : 12/27/2007
Last Update Date : 12/27/2007

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1063414795 — LAWRENCE ORINSTEIN D.O.
Practice Location Address:
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Directions to “A&S DRUG STORE INC ” Practice Location

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