MEDICARE: MR. GRAMMATIKOS GEORGE LAMBRAKIS R.PH.

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	044228	NY

General Provider Information

NPI Number	:	1306160650
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. GRAMMATIKOS GEORGE LAMBRAKIS R.PH.

Provider Business Mailing Address
First Line	:	1757 BATH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-4517
Country	:	US
Telephone Number	:	718-331-8877
Fax Number	:	718-234-6996

Provider Business Practice Location Address
First Line	:	1757 BATH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-4517
Country	:	US
Telephone Number	:	718-331-8877
Fax Number	:	718-234-6996

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

Provider Enumeration Date	:	03/16/2010
Last Update Date	:	03/16/2010

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