MEDICARE: AHORRE DRUG CORP

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	16867	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	00493132	OTHER	NY	NEW YORK ADAAP
3	3337929	OTHER		NABP NUMBER

General Provider Information

NPI Number	:	1053315515
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AHORRE DRUG CORP

Provider Business Mailing Address
First Line	:	746 10TH AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10019-7000
Country	:	US
Telephone Number	:	212-581-6010
Fax Number	:	212-581-6033

Provider Business Practice Location Address
First Line	:	746 10TH AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10019-7000
Country	:	US
Telephone Number	:	212-581-6010
Fax Number	:	212-581-6033

Authorized Official
Title or Position	:	PRESSIDENT
Name	:	MR. CARLOS M. TAMARIT
Credential	:
Telephone Number	:	212-581-6010

Provider Enumeration Date	:	06/11/2005
Last Update Date	:	02/14/2008

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1013035328 — MARIA ELENA MERCURIO L.C.S.W.,B.C.D.
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Directions to “AHORRE DRUG CORP ” Practice Location

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