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NPI Code Detail

MEDICARE: FAMILY FIRST PHARMACY SURGICAL SUPPLIES INC

MEDICARE: FAMILY FIRST PHARMACY SURGICAL SUPPLIES 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
1332B00000XDurable Medical Equipment & Medical Supplies
2333600000XPharmacy
33336S0011XSpecialty Pharmacy
43336C0004XCompounding Pharmacy
53336C0003XCommunity/Retail Pharmacy028998NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285899831
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY FIRST PHARMACY SURGICAL SUPPLIES INC
Provider Business Mailing Address
First Line : 6010 8TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-4338
Country : US
Telephone Number : 718-633-8388
Fax Number : 718-633-8488
Provider Business Practice Location Address
First Line : 6010 8TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-4338
Country : US
Telephone Number : 718-633-8388
Fax Number : 718-633-8488
Authorized Official
Title or Position : PRESIDENT
Name : JENNY LAM
Credential : PHARMD
Telephone Number : 718-633-8388
Provider Enumeration Date : 07/23/2008
Last Update Date : 07/20/2022

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