MEDICARE: JEAN J ROMELUS PHARMD

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
1	183500000X	Pharmacist	053083	NY

General Provider Information

NPI Number	:	1770811457
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEAN J ROMELUS PHARMD

Provider Business Mailing Address
First Line	:	270 CROWN ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11225-2356
Country	:	US
Telephone Number	:	347-445-7820
Fax Number	:	347-533-8019

Provider Business Practice Location Address
First Line	:	270 CROWN ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11225-2356
Country	:	US
Telephone Number	:	347-445-7820
Fax Number	:	347-533-8019

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/18/2009
Last Update Date	:	11/18/2009

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Directions to “ JEAN J ROMELUS PHARMD” Practice Location

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