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NPI Code Detail

MEDICARE: THRIFTWAY FLATBUSH AVE. DRUG CORP.

MEDICARE: THRIFTWAY FLATBUSH AVE. 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
1333600000XPharmacy026138NY

Other Identifiers

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

General Provider Information

NPI Number : 1376548545
Entity Type Code : Organization
Provider Name (Legal Business Name) : THRIFTWAY FLATBUSH AVE. DRUG CORP.
Provider Business Mailing Address
First Line : 542 FLATBUSH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11225-4804
Country : US
Telephone Number : 718-284-9800
Fax Number : 718-462-5303
Provider Business Practice Location Address
First Line : 542 FLATBUSH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11225-4804
Country : US
Telephone Number : 718-284-9800
Fax Number : 718-462-5303
Authorized Official
Title or Position : CORPORATE SECRETARY
Name : ALEX PERCHUK
Credential : RPH
Telephone Number : 718-835-2000
Provider Enumeration Date : 06/15/2005
Last Update Date : 07/19/2013

Similar Medicare Providers

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Practice Location Address:
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1891028601 — MS. YANA VASHAKIDZE PHARMD
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1578673588 — MARIA DE LOURDES PIZANA PH.D., LPC
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Practice Fax:
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Directions to “THRIFTWAY FLATBUSH AVE. DRUG CORP. ” Practice Location

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