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NPI Code Detail

MEDICARE: GABIJA BUKAUSKAITE R.PH

MEDICARE: GABIJA BUKAUSKAITE R.PH
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
1183500000XPharmacist051552NY

General Provider Information

NPI Number : 1457673782
Entity Type Code : Individual
Provider Name (Legal Business Name) : GABIJA BUKAUSKAITE R.PH
Provider Business Mailing Address
First Line : 21 CHATSWORTH AVE
Second Line :
City : LARCHMONT
State : NY
Zip : 10538-2903
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 21 CHATSWORTH AVE
Second Line :
City : LARCHMONT
State : NY
Zip : 10538-2903
Country : US
Telephone Number : 914-833-4103
Fax Number : 914-833-4166
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2010
Last Update Date : 03/03/2010

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