MEDICARE: GEO 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
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	027962	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	2068507	OTHER	PK

General Provider Information

NPI Number	:	1871697920
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GEO PHARMACY INC

Provider Business Mailing Address
First Line	:	685 CONEY ISLAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11218-4306
Country	:	US
Telephone Number	:	718-703-1888
Fax Number	:	718-703-1889

Provider Business Practice Location Address
First Line	:	685 CONEY ISLAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11218-4306
Country	:	US
Telephone Number	:	718-703-1888
Fax Number	:	718-703-1889

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ASIA BIBI
Credential	:
Telephone Number	:	718-703-1888

Provider Enumeration Date	:	09/11/2006
Last Update Date	:	09/19/2025

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Directions to “GEO PHARMACY INC ” Practice Location

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