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NPI Code Detail

MEDICARE: JOSEPH EBRIGHT PHARMACIST

MEDICARE:   JOSEPH  EBRIGHT  PHARMACIST
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
1183500000XPharmacist059284NY

General Provider Information

NPI Number : 1912502725
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH EBRIGHT PHARMACIST
Provider Business Mailing Address
First Line : 2034 N JERUSALEM RD
Second Line :
City : NORTH BELLMORE
State : NY
Zip : 11710-1110
Country : US
Telephone Number : 516-481-6654
Fax Number :
Provider Business Practice Location Address
First Line : 2034 N JERUSALEM RD
Second Line :
City : NORTH BELLMORE
State : NY
Zip : 11710-1110
Country : US
Telephone Number : 516-481-6654
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2020
Last Update Date : 12/01/2020

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Directions to “ JOSEPH EBRIGHT PHARMACIST” Practice Location

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