MEDICARE: MR. SCOTT BRUCE BILMAS RPH

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	033960	NY

General Provider Information

NPI Number	:	1083937502
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SCOTT BRUCE BILMAS RPH

Provider Business Mailing Address
First Line	:	18 KENNETH RD
Second Line	:
City	:	HARTSDALE
State	:	NY
Zip	:	10530-2921
Country	:	US
Telephone Number	:	914-949-6100
Fax Number	:	914-949-8630

Provider Business Practice Location Address
First Line	:	811 N BROADWAY
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10603-2400
Country	:	US
Telephone Number	:	914-949-6100
Fax Number	:	914-949-8630

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

Provider Enumeration Date	:	03/11/2010
Last Update Date	:	03/11/2010

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