MEDICARE: ARTHUR C WEINER RPH

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	183500000X	Pharmacist	032814	NY

Other Identifiers

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

General Provider Information

NPI Number	:	1558385468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARTHUR C WEINER RPH

Provider Business Mailing Address
First Line	:	2209 E 59TH PL
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-6401
Country	:	US
Telephone Number	:	718-415-9862
Fax Number	:

Provider Business Practice Location Address
First Line	:	2568 LINDEN BLVD
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11208-4904
Country	:	US
Telephone Number	:	718-485-0070
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	07/08/2007

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