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NPI Code Detail

MEDICARE: MOHAMMAD ASABUR RAHMAN PHARMACIST

MEDICARE:   MOHAMMAD ASABUR RAHMAN  PHARMACIST
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
1183500000XPharmacist031926NY

General Provider Information

NPI Number : 1710106505
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOHAMMAD ASABUR RAHMAN PHARMACIST
Provider Business Mailing Address
First Line : 770 CAPTAINS GATE
Second Line :
City : WESTBURY
State : NY
Zip : 11590-5811
Country : US
Telephone Number : 718-377-1680
Fax Number : 718-951-7520
Provider Business Practice Location Address
First Line : 1901 AVENUE M
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-6201
Country : US
Telephone Number : 718-377-1680
Fax Number : 718-951-7520
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2007
Last Update Date : 07/08/2007

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Directions to “ MOHAMMAD ASABUR RAHMAN PHARMACIST” Practice Location

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