MEDICARE: KATRINA ALMODOVAR PHARMD

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	183500000X	Pharmacist	070648	NY

General Provider Information

NPI Number	:	1649038597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATRINA ALMODOVAR PHARMD

Provider Business Mailing Address
First Line	:	3290 FREDERICK ST
Second Line	:
City	:	OCEANSIDE
State	:	NY
Zip	:	11572-4710
Country	:	US
Telephone Number	:	516-902-3735
Fax Number	:

Provider Business Practice Location Address
First Line	:	3290 FREDERICK ST
Second Line	:
City	:	OCEANSIDE
State	:	NY
Zip	:	11572-4710
Country	:	US
Telephone Number	:	516-902-3735
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2024
Last Update Date	:	03/06/2024

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Directions to “ KATRINA ALMODOVAR PHARMD” Practice Location

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