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NPI Code Detail

MEDICARE: FAST AID PHARMACY

MEDICARE: FAST AID PHARMACY
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
1183500000XPharmacist044122NY

Other Identifiers

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

General Provider Information

NPI Number : 1588724934
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAST AID PHARMACY
Provider Business Mailing Address
First Line : 2807 OCEAN AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-4707
Country : US
Telephone Number : 718-646-1109
Fax Number : 718-646-1599
Provider Business Practice Location Address
First Line : 2807 OCEAN AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-4707
Country : US
Telephone Number : 718-646-1109
Fax Number : 718-646-1599
Authorized Official
Title or Position : OWNER
Name : MR. DIMA SHALVER
Credential :
Telephone Number : 718-646-1109
Provider Enumeration Date : 12/08/2006
Last Update Date : 08/22/2020

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Directions to “FAST AID PHARMACY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.