MEDICARE: FRISCIA PHARMACY 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
1	333600000X	Pharmacy
2	3336C0003X	Community/Retail Pharmacy	013710	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2058834	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861427007
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRISCIA PHARMACY INC

Provider Business Mailing Address
First Line	:	1505 MERMAID AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11224-2617
Country	:	US
Telephone Number	:	718-373-9600
Fax Number	:	718-373-4409

Provider Business Practice Location Address
First Line	:	1505 MERMAID AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11224-2617
Country	:	US
Telephone Number	:	718-373-9600
Fax Number	:	718-373-4409

Authorized Official
Title or Position	:	OWNER AND PHARMACIST
Name	:	ANTHONY MORANO
Credential	:
Telephone Number	:	718-373-9600

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	02/23/2017

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Directions to “FRISCIA PHARMACY INC ” Practice Location

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