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NPI Code Detail

MEDICARE: ISLAND PHARMACY & SURGICAL INC

MEDICARE: ISLAND PHARMACY & SURGICAL 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
13336C0003XCommunity/Retail Pharmacy020052NY

General Provider Information

NPI Number : 1548477557
Entity Type Code : Organization
Provider Name (Legal Business Name) : ISLAND PHARMACY & SURGICAL INC
Provider Business Mailing Address
First Line : 5121 CHURCH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-3511
Country : US
Telephone Number : 718-345-6588
Fax Number :
Provider Business Practice Location Address
First Line : 5121 CHURCH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-3511
Country : US
Telephone Number : 718-345-6588
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. JABBAR AHMAD
Credential :
Telephone Number : 717-345-6588
Provider Enumeration Date : 05/17/2007
Last Update Date : 08/22/2020

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Directions to “ISLAND PHARMACY & SURGICAL INC ” Practice Location

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