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NPI Code Detail

MEDICARE: U15 PHARMACY INC

MEDICARE: U15 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
1333600000XPharmacy
23336C0003XCommunity/Retail Pharmacy026705NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12062803OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841232378
Entity Type Code : Organization
Provider Name (Legal Business Name) : U15 PHARMACY INC
Provider Business Mailing Address
First Line : 1506 AVENUE U
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-3808
Country : US
Telephone Number : 718-336-5883
Fax Number : 718-336-6936
Provider Business Practice Location Address
First Line : 1506 AVENUE U
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-3808
Country : US
Telephone Number : 718-336-5883
Fax Number : 718-336-6936
Authorized Official
Title or Position : OWNER
Name : MASSIHOLL HAFIZI
Credential :
Telephone Number : 718-336-5883
Provider Enumeration Date : 06/11/2006
Last Update Date : 09/17/2025

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