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NPI Code Detail

MEDICARE: AMI NAYAK

MEDICARE: AMI NAYAK
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
1183500000XPharmacist21471NC

General Provider Information

NPI Number : 1407148125
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMI NAYAK
Provider Business Mailing Address
First Line : 412 BELROSE DR
Second Line :
City : CARY
State : NC
Zip : 27513-9750
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 605 N MAIN ST
Second Line :
City : FUQUAY VARINA
State : NC
Zip : 27526-2026
Country : US
Telephone Number : 919-552-8299
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2011
Last Update Date : 05/13/2011

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Directions to “ AMI NAYAK ” Practice Location

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