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NPI Code Detail

MEDICARE: KEW GARDENS PHARMACY INC

MEDICARE: KEW GARDENS PHARMACY INC
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
1333600000XPharmacy
23336C0003XCommunity/Retail Pharmacy023105NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22061900OTHERPK

General Provider Information

NPI Number : 1457362006
Entity Type Code : Organization
Provider Name (Legal Business Name) : KEW GARDENS PHARMACY INC
Provider Business Mailing Address
First Line : 8157 LEFFERTS BLVD
Second Line :
City : KEW GARDENS
State : NY
Zip : 11415-1728
Country : US
Telephone Number : 718-850-5220
Fax Number : 718-850-5220
Provider Business Practice Location Address
First Line : 8157 LEFFERTS BLVD
Second Line :
City : KEW GARDENS
State : NY
Zip : 11415-1728
Country : US
Telephone Number : 718-850-5220
Fax Number : 718-850-5220
Authorized Official
Title or Position : VP
Name : GEORGE BLIKSTEIN
Credential :
Telephone Number : 718-850-5220
Provider Enumeration Date : 08/10/2006
Last Update Date : 09/19/2025

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Directions to “KEW GARDENS PHARMACY INC ” Practice Location

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