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NPI Code Detail

MEDICARE: EAST NY PHARMACY INC.

MEDICARE: EAST NY 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
1333600000XPharmacy031583NY

General Provider Information

NPI Number : 1073950663
Entity Type Code : Organization
Provider Name (Legal Business Name) : EAST NY PHARMACY INC.
Provider Business Mailing Address
First Line : 1611 E NEW YORK AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11212-6860
Country : US
Telephone Number : 347-331-0522
Fax Number : 347-331-0544
Provider Business Practice Location Address
First Line : 1611 E NEW YORK AVE
Second Line : PHARMACY DEPARTMENT
City : BROOKLYN
State : NY
Zip : 11212-6860
Country : US
Telephone Number : 347-331-0522
Fax Number : 347-331-0544
Authorized Official
Title or Position : SUPERVISING PHARMACIST
Name : MR. MARK RABBANI
Credential : RPH
Telephone Number : 347-313-0522
Provider Enumeration Date : 05/23/2013
Last Update Date : 05/23/2013

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Directions to “EAST NY PHARMACY INC. ” Practice Location

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