MEDICARE: TMVQS CORP

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
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1548739022
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TMVQS CORP

Provider Business Mailing Address
First Line	:	1224 AVENUE U
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-4107
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1224 AVENUE U
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11229-4107
Country	:	US
Telephone Number	:	718-975-2800
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ANATOLIY TATARYN
Credential	:
Telephone Number	:	718-975-2800

Provider Enumeration Date	:	11/14/2018
Last Update Date	:	11/14/2018

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Directions to “TMVQS CORP ” Practice Location

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