MEDICARE: Z 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	3336C0003X	Community/Retail Pharmacy	026560	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	3337347	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number	:	1003913948
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	Z DRUGS INC

Provider Business Mailing Address
First Line	:	2617 E 16TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3841
Country	:	US
Telephone Number	:	718-648-4441
Fax Number	:	718-648-4328

Provider Business Practice Location Address
First Line	:	2617 E 16TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3841
Country	:	US
Telephone Number	:	718-648-4441
Fax Number	:	718-648-4328

Authorized Official
Title or Position	:	SECRETARY
Name	:	MARAT BLUSTIN
Credential	:
Telephone Number	:	917-922-3204

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	03/02/2010

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