MEDICARE: US PHARMACY & SURGICAL 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
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1235529041
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	US PHARMACY & SURGICAL INC

Provider Business Mailing Address
First Line	:	1259 FULTON ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11216-2011
Country	:	US
Telephone Number	:	718-484-1500
Fax Number	:	718-484-1511

Provider Business Practice Location Address
First Line	:	1259 FULTON ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11216-2011
Country	:	US
Telephone Number	:	718-484-1500
Fax Number	:	718-484-1511

Authorized Official
Title or Position	:	SUPERVISING PHARMACIST
Name	:	MR. MOHAMMAD RAHMAN
Credential	:
Telephone Number	:	718-484-1500

Provider Enumeration Date	:	01/31/2015
Last Update Date	:	10/19/2015

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