MEDICARE: MR. DAVID ALAN SCHWARTZ 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	039833	NY

General Provider Information

NPI Number	:	1275710691
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID ALAN SCHWARTZ RPH

Provider Business Mailing Address
First Line	:	876 CONNETQUOT AVE
Second Line	:
City	:	ISLIP TERRACE
State	:	NY
Zip	:	11752-1425
Country	:	US
Telephone Number	:	631-581-5496
Fax Number	:	631-581-1268

Provider Business Practice Location Address
First Line	:	245 WASHINGTON AVE
Second Line	:
City	:	SAINT JAMES
State	:	NY
Zip	:	11780-2227
Country	:	US
Telephone Number	:	631-584-2045
Fax Number	:	631-584-2045

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

Provider Enumeration Date	:	01/28/2008
Last Update Date	:	01/28/2008

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