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NPI Code Detail

MEDICARE: ZOURA PHARMACY INC

MEDICARE: ZOURA 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 Pharmacy030974NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22132607OTHERPK

General Provider Information

NPI Number : 1356627780
Entity Type Code : Organization
Provider Name (Legal Business Name) : ZOURA PHARMACY INC
Provider Business Mailing Address
First Line : 464 AVENUE U
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-4011
Country : US
Telephone Number : 718-676-6445
Fax Number : 718-676-6446
Provider Business Practice Location Address
First Line : 464 AVENUE U
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-4011
Country : US
Telephone Number : 718-676-6445
Fax Number : 718-676-6446
Authorized Official
Title or Position : PRESIDENT
Name : AZOUR CHAYA
Credential :
Telephone Number : 718-676-6445
Provider Enumeration Date : 10/31/2011
Last Update Date : 12/21/2015

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Directions to “ZOURA PHARMACY INC ” Practice Location

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