MEDICARE: DR. ETHEL MARKOVICS PHARMD

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	048855	NY

General Provider Information

NPI Number	:	1285068981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ETHEL MARKOVICS PHARMD

Provider Business Mailing Address
First Line	:	881 E 13TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-2913
Country	:	US
Telephone Number	:	718-253-0114
Fax Number	:	718-253-0044

Provider Business Practice Location Address
First Line	:	1310 48TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-3153
Country	:	US
Telephone Number	:	718-972-5750
Fax Number	:	718-972-7288

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

Provider Enumeration Date	:	08/29/2013
Last Update Date	:	08/29/2013

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