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NPI Code Detail

MEDICARE: RAPHEW FAHM PHARM.D.

MEDICARE:   RAPHEW  FAHM  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
1183500000XPharmacist066880NY

General Provider Information

NPI Number : 1740892470
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAPHEW FAHM PHARM.D.
Provider Business Mailing Address
First Line : 171 MACDOUGAL ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11233-2624
Country : US
Telephone Number : 917-703-7219
Fax Number :
Provider Business Practice Location Address
First Line : 1950 FULTON ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11233-5511
Country : US
Telephone Number : 718-493-0854
Fax Number : 718-493-6512
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2020
Last Update Date : 08/24/2020

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Directions to “ RAPHEW FAHM PHARM.D.” Practice Location

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