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NPI Code Detail

MEDICARE: DR. XHEVAHIRE KRAJA PHARMACIST

MEDICARE: DR. XHEVAHIRE KRAJA PHARMACIST
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
1183500000XPharmacist068681NY

General Provider Information

NPI Number : 1205548690
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. XHEVAHIRE KRAJA PHARMACIST
Provider Business Mailing Address
First Line : 72 LINCOLN AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10306-2437
Country : US
Telephone Number : 347-336-7801
Fax Number :
Provider Business Practice Location Address
First Line : 2045 FOREST AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10303-1734
Country : US
Telephone Number : 718-982-8019
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2022
Last Update Date : 12/19/2022

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