MEDICARE: VAIBHAV AGGARWAL 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	058252	NY

General Provider Information

NPI Number	:	1821424433
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VAIBHAV AGGARWAL PHARMD

Provider Business Mailing Address
First Line	:	8914 115TH ST
Second Line	:
City	:	RICHMOND HILL
State	:	NY
Zip	:	11418-3135
Country	:	US
Telephone Number	:	718-416-5672
Fax Number	:

Provider Business Practice Location Address
First Line	:	8914 115TH ST
Second Line	:
City	:	RICHMOND HILL
State	:	NY
Zip	:	11418-3135
Country	:	US
Telephone Number	:	718-416-5672
Fax Number	:

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

Provider Enumeration Date	:	09/16/2013
Last Update Date	:	09/16/2013

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