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NPI Code Detail

MEDICARE: SOFIYA GLUKHOVSKAYA RPH

MEDICARE: SOFIYA GLUKHOVSKAYA RPH
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
1183500000XPharmacist046618NY

Other Identifiers

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

General Provider Information

NPI Number : 1861674988
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOFIYA GLUKHOVSKAYA RPH
Provider Business Mailing Address
First Line : 344 AVENUE X
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-5914
Country : US
Telephone Number : 718-375-8257
Fax Number :
Provider Business Practice Location Address
First Line : 344 AVENUE X
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-5914
Country : US
Telephone Number : 718-375-8257
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2007
Last Update Date : 11/30/2007

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Directions to “ SOFIYA GLUKHOVSKAYA RPH” Practice Location

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