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NPI Code Detail

MEDICARE: SAYORA PHARMACY LLC

MEDICARE: SAYORA PHARMACY LLC
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
1183500000XPharmacist
23336C0003XCommunity/Retail Pharmacy

General Provider Information

NPI Number : 1811678527
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAYORA PHARMACY LLC
Provider Business Mailing Address
First Line : 1332 CONEY ISLAND AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-3521
Country : US
Telephone Number : 347-240-2111
Fax Number :
Provider Business Practice Location Address
First Line : 1332 CONEY ISLAND AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-3521
Country : US
Telephone Number : 347-240-2111
Fax Number :
Authorized Official
Title or Position : SUPERVISING PHARMACIST
Name : SADORATHON ORIFZODA
Credential : PHARMD
Telephone Number : 347-240-2111
Provider Enumeration Date : 07/26/2023
Last Update Date : 04/02/2024

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Directions to “SAYORA PHARMACY LLC ” Practice Location

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