MEDICARE: JAMES MAGERA R.PH.

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	183500000X	Pharmacist	053451	NY

General Provider Information

NPI Number	:	1912231044
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES MAGERA R.PH.

Provider Business Mailing Address
First Line	:	9543 ROUTE 11
Second Line	:
City	:	BREWERTON
State	:	NY
Zip	:	13029-9426
Country	:	US
Telephone Number	:	315-676-3676
Fax Number	:	315-668-6525

Provider Business Practice Location Address
First Line	:	9543 ROUTE 11
Second Line	:
City	:	BREWERTON
State	:	NY
Zip	:	13029-9426
Country	:	US
Telephone Number	:	315-676-3676
Fax Number	:	315-668-6525

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2009
Last Update Date	:	12/09/2023

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