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NPI Code Detail

MEDICARE: BROWNSVILLE COMMUNITY PHARMACY INC

MEDICARE: BROWNSVILLE COMMUNITY PHARMACY 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
1333600000XPharmacy
23336C0003XCommunity/Retail Pharmacy025312NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22064262OTHERPK

General Provider Information

NPI Number : 1295832137
Entity Type Code : Organization
Provider Name (Legal Business Name) : BROWNSVILLE COMMUNITY PHARMACY INC
Provider Business Mailing Address
First Line : 592 ROCKAWAY AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11212-5539
Country : US
Telephone Number : 718-345-3399
Fax Number : 718-345-2286
Provider Business Practice Location Address
First Line : 592 ROCKAWAY AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11212-5539
Country : US
Telephone Number : 718-345-3399
Fax Number : 718-345-2286
Authorized Official
Title or Position : PRESIDENT
Name : ELDHO VARKEY
Credential : M.PHARM, R.PH.
Telephone Number : 718-345-3399
Provider Enumeration Date : 09/20/2006
Last Update Date : 12/21/2016

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Directions to “BROWNSVILLE COMMUNITY PHARMACY INC ” Practice Location

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