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NPI Code Detail

MEDICARE: SHRI DRUG INC

MEDICARE: SHRI DRUG 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
1333600000XPharmacy016289NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13366449OTHERNCPDP
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881687069
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHRI DRUG INC
Provider Business Mailing Address
First Line : 26 IRVING DR
Second Line :
City : WOODBURY
State : NY
Zip : 11797-1333
Country : US
Telephone Number : 718-774-6800
Fax Number : 718-774-1776
Provider Business Practice Location Address
First Line : 312 RALPH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11233-3022
Country : US
Telephone Number : 718-774-6800
Fax Number : 718-774-1776
Authorized Official
Title or Position : PRESIDENT
Name : MR. SURESH WATTAMWAR I
Credential : R.PH.
Telephone Number : 718-774-6800
Provider Enumeration Date : 08/23/2005
Last Update Date : 12/17/2008

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Directions to “SHRI DRUG INC ” Practice Location

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