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NPI Code Detail

MEDICARE: STELLA BORUKHOVA PHARMD

MEDICARE: STELLA BORUKHOVA 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
1183500000XPharmacist058579NY

General Provider Information

NPI Number : 1336557990
Entity Type Code : Individual
Provider Name (Legal Business Name) : STELLA BORUKHOVA PHARMD
Provider Business Mailing Address
First Line : 541 W 235TH ST
Second Line :
City : BRONX
State : NY
Zip : 10463-1708
Country : US
Telephone Number : 718-548-8600
Fax Number :
Provider Business Practice Location Address
First Line : 541 W 235TH ST
Second Line :
City : BRONX
State : NY
Zip : 10463-1708
Country : US
Telephone Number : 718-548-8600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2014
Last Update Date : 07/28/2014

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Directions to “ STELLA BORUKHOVA PHARMD” Practice Location

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