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NPI Code Detail

MEDICARE: DR. PATRICK VINCENT MCDONNELL PHARM. D.

MEDICARE: DR. PATRICK VINCENT MCDONNELL PHARM. D.
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
1183500000XPharmacist054188NY

General Provider Information

NPI Number : 1508189937
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICK VINCENT MCDONNELL PHARM. D.
Provider Business Mailing Address
First Line : 9408 3RD AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11209-6804
Country : US
Telephone Number : 718-748-1673
Fax Number : 718-748-1760
Provider Business Practice Location Address
First Line : 9408 3RD AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11209-6804
Country : US
Telephone Number : 718-748-1673
Fax Number : 718-748-1760
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2010
Last Update Date : 03/12/2010

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