MEDICARE: ANDRIUS DIRMEITIS

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	065636	NY

General Provider Information

NPI Number	:	1063069599
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDRIUS DIRMEITIS

Provider Business Mailing Address
First Line	:	378 LAFAYETTE AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11238-2254
Country	:	US
Telephone Number	:	718-623-8930
Fax Number	:

Provider Business Practice Location Address
First Line	:	378 LAFAYETTE AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11238-2254
Country	:	US
Telephone Number	:	718-623-8930
Fax Number	:

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

Provider Enumeration Date	:	08/20/2019
Last Update Date	:	11/14/2022

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Directions to “ ANDRIUS DIRMEITIS ” Practice Location

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