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NPI Code Detail

MEDICARE: STATION PHARMACY NY LLC

MEDICARE: STATION PHARMACY NY LLC
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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1639001373
Entity Type Code : Organization
Provider Name (Legal Business Name) : STATION PHARMACY NY LLC
Provider Business Mailing Address
First Line : 1757 NEW YORK AVE
Second Line :
City : HUNTINGTON STATION
State : NY
Zip : 11746-2407
Country : US
Telephone Number : 631-418-8953
Fax Number : 631-418-8954
Provider Business Practice Location Address
First Line : 1757 NEW YORK AVE
Second Line :
City : HUNTINGTON STATION
State : NY
Zip : 11746-2407
Country : US
Telephone Number : 631-418-8953
Fax Number : 631-418-8954
Authorized Official
Title or Position : OWNER
Name : DALER RAKHMONOV
Credential :
Telephone Number : 718-629-8940
Provider Enumeration Date : 05/29/2026
Last Update Date : 05/29/2026

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Directions to “STATION PHARMACY NY LLC ” Practice Location

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