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NPI Code Detail

MEDICARE: CALLY TOURLOUKIS

MEDICARE: CALLY TOURLOUKIS
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
1183500000XPharmacist036401NY

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 : 1659551018
Entity Type Code : Individual
Provider Name (Legal Business Name) : CALLY TOURLOUKIS
Provider Business Mailing Address
First Line : 3 E 2ND ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11218-1019
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 168 MONTAGUE ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-3615
Country : US
Telephone Number : 718-522-2991
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2007
Last Update Date : 11/13/2007

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Directions to “ CALLY TOURLOUKIS ” Practice Location

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