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NPI Code Detail

MEDICARE: TANIL CADETTE RPH

MEDICARE: TANIL CADETTE RPH
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
1183500000XPharmacist067331NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1067331OTHERNYLICENSE NUMBER

General Provider Information

NPI Number : 1659964138
Entity Type Code : Individual
Provider Name (Legal Business Name) : TANIL CADETTE RPH
Provider Business Mailing Address
First Line : 1217 SCHENECTADY AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-5827
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2325 FLATBUSH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11234-4529
Country : US
Telephone Number : 718-951-0518
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2021
Last Update Date : 02/16/2021

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Directions to “ TANIL CADETTE RPH” Practice Location

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