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NPI Code Detail

MEDICARE: DR. TAREK ISMAIL PHARM.D

MEDICARE:  DR. TAREK  ISMAIL  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
1183500000XPharmacist052083NY

General Provider Information

NPI Number : 1720300338
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TAREK ISMAIL PHARM.D
Provider Business Mailing Address
First Line : 9408 3RD AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11209-6804
Country : US
Telephone Number : 718-748-1636
Fax Number :
Provider Business Practice Location Address
First Line : 9408 3RD AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11209-6804
Country : US
Telephone Number : 718-748-1636
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2010
Last Update Date : 02/23/2010

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Directions to “ DR. TAREK ISMAIL PHARM.D” Practice Location

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