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NPI Code Detail

MEDICARE: MRS. OLGA BRUK RPH

MEDICARE: MRS. OLGA BRUK RPH
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
1183500000XPharmacist045828NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1740512862
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. OLGA BRUK RPH
Provider Business Mailing Address
First Line : 3921 9TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11232-3207
Country : US
Telephone Number : 718-435-7790
Fax Number :
Provider Business Practice Location Address
First Line : 3921 9TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11232-3207
Country : US
Telephone Number : 718-435-7790
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2010
Last Update Date : 02/01/2010

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