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NPI Code Detail

MEDICARE: ANH PHARMACY INC

MEDICARE: ANH 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
1302R00000XHealth Maintenance Organization033439NY

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 : 1902290216
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANH PHARMACY INC
Provider Business Mailing Address
First Line : 3167 FULTON ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11208-1922
Country : US
Telephone Number : 718-484-8044
Fax Number : 718-484-8042
Provider Business Practice Location Address
First Line : 3167 FULTON ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11208-1922
Country : US
Telephone Number : 718-484-8044
Fax Number : 718-484-8042
Authorized Official
Title or Position : MANAGER
Name : MR. MOHAMMAD EDREIS
Credential :
Telephone Number : 718-484-8044
Provider Enumeration Date : 03/25/2015
Last Update Date : 09/29/2015

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