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NPI Code Detail

MEDICARE: ABBY PHARMACY INC

MEDICARE: ABBY PHARMACY 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
1332B00000XDurable Medical Equipment & Medical Supplies
2333600000XPharmacy
33336S0011XSpecialty Pharmacy
43336C0003XCommunity/Retail Pharmacy034749NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12160074OTHERPK

General Provider Information

NPI Number : 1689020794
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABBY PHARMACY INC
Provider Business Mailing Address
First Line : 812 60TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-4322
Country : US
Telephone Number : 347-915-1010
Fax Number : 347-915-1009
Provider Business Practice Location Address
First Line : 812 60TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11220-4322
Country : US
Telephone Number : 347-915-1010
Fax Number : 347-915-1009
Authorized Official
Title or Position : MANAGER
Name : QI RONG CHEN
Credential :
Telephone Number : 347-915-1010
Provider Enumeration Date : 05/07/2016
Last Update Date : 04/18/2023

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