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NPI Code Detail

MEDICARE: PL PHARMACY INC

MEDICARE: PL 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
13336C0003XCommunity/Retail Pharmacy029115NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13310062OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356330740
Entity Type Code : Organization
Provider Name (Legal Business Name) : PL PHARMACY INC
Provider Business Mailing Address
First Line : 6902 3RD AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11209-1305
Country : US
Telephone Number : 718-238-2444
Fax Number : 718-921-6104
Provider Business Practice Location Address
First Line : 6902 3RD AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11209-1305
Country : US
Telephone Number : 718-238-2444
Fax Number : 718-921-6104
Authorized Official
Title or Position : VP
Name : BARRY BESHKIN
Credential :
Telephone Number : 718-238-2444
Provider Enumeration Date : 10/18/2005
Last Update Date : 05/18/2009

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