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NPI Code Detail

MEDICARE: TITAN PHARMACEUTICALS AND NUTRITION INC

MEDICARE: TITAN PHARMACEUTICALS AND NUTRITION 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
1333600000XPharmacy
23336C0003XCommunity/Retail Pharmacy023513NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
23334404OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number : 1720124332
Entity Type Code : Organization
Provider Name (Legal Business Name) : TITAN PHARMACEUTICALS AND NUTRITION INC
Provider Business Mailing Address
First Line : 2202 AVENUE U
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-3648
Country : US
Telephone Number : 718-368-3900
Fax Number : 718-368-1818
Provider Business Practice Location Address
First Line : 2202 AVENUE U
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-3648
Country : US
Telephone Number : 718-368-3900
Fax Number : 718-368-1818
Authorized Official
Title or Position : PRESIDENT
Name : GEORGE MITSOPOULOS
Credential :
Telephone Number : 718-368-3900
Provider Enumeration Date : 01/30/2007
Last Update Date : 02/16/2010

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Directions to “TITAN PHARMACEUTICALS AND NUTRITION INC ” Practice Location

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