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NPI Code Detail

MEDICARE: R & D BROTHERS INC

MEDICARE: R & D BROTHERS 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
13336C0003XCommunity/Retail Pharmacy029189NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22118481OTHERPK

General Provider Information

NPI Number : 1750526869
Entity Type Code : Organization
Provider Name (Legal Business Name) : R & D BROTHERS INC
Provider Business Mailing Address
First Line : 11210 SPRINGFIELD BLVD
Second Line :
City : QUEENS VILLAGE
State : NY
Zip : 11429-2650
Country : US
Telephone Number : 718-464-7777
Fax Number : 718-776-3088
Provider Business Practice Location Address
First Line : 11210 SPRINGFIELD BLVD
Second Line :
City : QUEENS VILLAGE
State : NY
Zip : 11429-2650
Country : US
Telephone Number : 718-464-7777
Fax Number : 718-776-3088
Authorized Official
Title or Position : OWNER
Name : DANIEL BADALOV
Credential :
Telephone Number : 718-464-7777
Provider Enumeration Date : 12/04/2008
Last Update Date : 01/18/2017

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Directions to “R & D BROTHERS INC ” Practice Location

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