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NPI Code Detail

MEDICARE: MAYGYUL IZZATOVA

MEDICARE: MAYGYUL IZZATOVA
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
1183500000XPharmacistPH1002180MA

General Provider Information

NPI Number : 1427981489
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAYGYUL IZZATOVA
Provider Business Mailing Address
First Line : PO BOX 224
Second Line :
City : WEST SPRINGFIELD
State : MA
Zip : 01090-0224
Country : US
Telephone Number : 413-627-1277
Fax Number :
Provider Business Practice Location Address
First Line : 1616 MEMORIAL DR
Second Line :
City : CHICOPEE
State : MA
Zip : 01020-3933
Country : US
Telephone Number : 413-532-3299
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2026
Last Update Date : 06/08/2026

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Directions to “ MAYGYUL IZZATOVA ” Practice Location

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