MEDICARE: PITKIN PHARMACY LLC

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	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1366235459
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PITKIN PHARMACY LLC

Provider Business Mailing Address
First Line	:	1801 PITKIN AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11212-7859
Country	:	US
Telephone Number	:	929-627-4191
Fax Number	:	929-627-3263

Provider Business Practice Location Address
First Line	:	1801 PITKIN AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11212-7859
Country	:	US
Telephone Number	:	929-627-4191
Fax Number	:	929-627-3263

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HIRA IFTIKHAR
Credential	:
Telephone Number	:	929-627-4191

Provider Enumeration Date	:	05/22/2025
Last Update Date	:	05/22/2025

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Directions to “PITKIN PHARMACY LLC ” Practice Location

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