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NPI Code Detail

MEDICARE: ANGELA POULIOS PHARM D

MEDICARE: ANGELA POULIOS PHARM D
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
1183500000XPharmacist051659NY

General Provider Information

NPI Number : 1720274913
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA POULIOS PHARM D
Provider Business Mailing Address
First Line : 9 COLGATE RD
Second Line :
City : GREAT NECK
State : NY
Zip : 11023-2223
Country : US
Telephone Number : 917-902-1471
Fax Number :
Provider Business Practice Location Address
First Line : 9312 ASTORIA BLVD
Second Line :
City : EAST ELMHURST
State : NY
Zip : 11369-1533
Country : US
Telephone Number : 718-426-3455
Fax Number : 718-426-3498
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2007
Last Update Date : 03/02/2026

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Directions to “ ANGELA POULIOS PHARM D” Practice Location

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