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NPI Code Detail

MEDICARE: GINA I MCDADE RPH

MEDICARE:   GINA I MCDADE  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
1183500000XPharmacist044610NY

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 : 1336303510
Entity Type Code : Individual
Provider Name (Legal Business Name) : GINA I MCDADE RPH
Provider Business Mailing Address
First Line : 50 SPRING VALLEY MARKETPLACE
Second Line : TARGET PHARMACY T1808
City : SPRING VALLEY
State : NY
Zip : 10977-5213
Country : US
Telephone Number : 845-371-5811
Fax Number :
Provider Business Practice Location Address
First Line : 50 SPRING VALLEY MARKETPLACE
Second Line : TARGET PHARMACY T1808
City : SPRING VALLEY
State : NY
Zip : 10977-5213
Country : US
Telephone Number : 845-371-5811
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2008
Last Update Date : 07/16/2008

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Directions to “ GINA I MCDADE RPH” Practice Location

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