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NPI Code Detail

MEDICARE: MR. GARY JOSEPH CAIRO RPH

MEDICARE:  MR. GARY JOSEPH CAIRO  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
1183500000XPharmacist037367NY

General Provider Information

NPI Number : 1558542647
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GARY JOSEPH CAIRO RPH
Provider Business Mailing Address
First Line : 11502 LIBERTY AVE
Second Line :
City : SOUTH RICHMOND HILL
State : NY
Zip : 11419-1902
Country : US
Telephone Number : 718-835-9500
Fax Number : 718-835-8724
Provider Business Practice Location Address
First Line : 11502 LIBERTY AVE
Second Line :
City : SOUTH RICHMOND HILL
State : NY
Zip : 11419-1902
Country : US
Telephone Number : 718-835-9500
Fax Number : 718-835-8724
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2007
Last Update Date : 11/17/2007

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Directions to “ MR. GARY JOSEPH CAIRO RPH” Practice Location

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