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NPI Code Detail

MEDICARE: GARI BASIN RPH

MEDICARE:   GARI  BASIN  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
1183500000XPharmacist046056NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1046056OTHERNYPHARMACY LICENSE NUMBER

General Provider Information

NPI Number : 1568672731
Entity Type Code : Individual
Provider Name (Legal Business Name) : GARI BASIN RPH
Provider Business Mailing Address
First Line : 3828 NOSTRAND AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-2013
Country : US
Telephone Number : 718-934-8888
Fax Number :
Provider Business Practice Location Address
First Line : 3828 NOSTRAND AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-2013
Country : US
Telephone Number : 718-934-8888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2007
Last Update Date : 07/08/2007

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Directions to “ GARI BASIN RPH” Practice Location

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