MEDICARE: PILL DROP 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	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1043051477
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PILL DROP PHARMACY, INC.

Provider Business Mailing Address
First Line	:	6315 AVENUE N
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-5508
Country	:	US
Telephone Number	:	718-513-4807
Fax Number	:	718-513-4808

Provider Business Practice Location Address
First Line	:	6315 AVENUE N
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-5508
Country	:	US
Telephone Number	:	718-513-4807
Fax Number	:	718-513-4808

Authorized Official
Title or Position	:	PRINCIPAL
Name	:	DANIEL ALEXANDER MARAKHOVSKY
Credential	:	PHARM D
Telephone Number	:	917-337-5266

Provider Enumeration Date	:	05/31/2024
Last Update Date	:	05/31/2024

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