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NPI Code Detail

MEDICARE: FLATBUSH PHARMACY INC

MEDICARE: FLATBUSH 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
1333600000XPharmacy026469NY

Other Identifiers

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

General Provider Information

NPI Number : 1033194469
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLATBUSH PHARMACY INC
Provider Business Mailing Address
First Line : 2134 BEVERLEY RD
Second Line :
City : BROOKLYN
State : NY
Zip : 11226-5406
Country : US
Telephone Number : 718-284-0909
Fax Number :
Provider Business Practice Location Address
First Line : 2134 BEVERLEY RD
Second Line :
City : BROOKLYN
State : NY
Zip : 11226-5406
Country : US
Telephone Number : 718-284-0909
Fax Number : 718-284-1250
Authorized Official
Title or Position : PRESIDENT
Name : MR. MUHAMMAD M KHAN
Credential :
Telephone Number : 718-284-0909
Provider Enumeration Date : 12/08/2005
Last Update Date : 08/22/2020

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