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NPI Code Detail

MEDICARE: 272 DRUG CORP

MEDICARE: 272 DRUG CORP
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
1183500000XPharmacist017632NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1017632OTHERNYPHARMACY REGISTRATION NUM
23376147OTHERNYNABP NUMBER

General Provider Information

NPI Number : 1366526584
Entity Type Code : Organization
Provider Name (Legal Business Name) : 272 DRUG CORP
Provider Business Mailing Address
First Line : 4623 CHURCH AV
Second Line :
City : BROOKLYN
State : NY
Zip : 11203
Country : US
Telephone Number : 718-773-5547
Fax Number : 718-773-5568
Provider Business Practice Location Address
First Line : 4623 CHURCH AV
Second Line :
City : BROOKLYN
State : NY
Zip : 11203
Country : US
Telephone Number : 718-773-4457
Fax Number : 718-773-5568
Authorized Official
Title or Position : OWNER/PHARMACIST
Name : MR. YACOOB NOOR
Credential : R.PH.
Telephone Number : 718-773-5547
Provider Enumeration Date : 10/24/2006
Last Update Date : 03/07/2023

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Directions to “272 DRUG CORP ” Practice Location

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