MEDICARE: TURNPIKE RX INC

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	035906	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	035906	OTHER	NY	STATE BOARD

General Provider Information

NPI Number	:	1598278301
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TURNPIKE RX INC

Provider Business Mailing Address
First Line	:	22417A UNION TPKE
Second Line	:
City	:	OAKLAND GARDENS
State	:	NY
Zip	:	11364-3631
Country	:	US
Telephone Number	:	929-405-0444
Fax Number	:	929-405-0447

Provider Business Practice Location Address
First Line	:	22417A UNION TPKE
Second Line	:
City	:	OAKLAND GARDENS
State	:	NY
Zip	:	11364-3631
Country	:	US
Telephone Number	:	929-405-0444
Fax Number	:	929-405-0447

Authorized Official
Title or Position	:	PRESIDENT
Name	:	NETANEL BINYAMINOV
Credential	:
Telephone Number	:	929-405-0444

Provider Enumeration Date	:	11/15/2017
Last Update Date	:	11/15/2017

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Directions to “TURNPIKE RX INC ” Practice Location

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