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NPI Code Detail

MEDICARE: MR. KENNETH F. SOKOL R.PH.

MEDICARE: MR. KENNETH F. SOKOL R.PH.
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
1183500000XPharmacist027591NY

General Provider Information

NPI Number : 1235455379
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. KENNETH F. SOKOL R.PH.
Provider Business Mailing Address
First Line : 75-59 263RD STREET
Second Line : ATTN: PHARMACY DEPT.
City : GLEN OAKS
State : NY
Zip : 11004-1100
Country : US
Telephone Number : 718-470-8321
Fax Number : 718-831-2605
Provider Business Practice Location Address
First Line : 75-59 263RD STREET
Second Line : ATTN: PHARMACY DEPT.
City : GLEN OAKS
State : NY
Zip : 11004-1100
Country : US
Telephone Number : 718-470-8321
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2010
Last Update Date : 04/14/2010

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