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NPI Code Detail

MEDICARE: MR. VLADIMIR NASTOSKI RPH

MEDICARE: MR. VLADIMIR NASTOSKI 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
1183500000XPharmacist28RI03113000NJ

General Provider Information

NPI Number : 1922380179
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. VLADIMIR NASTOSKI RPH
Provider Business Mailing Address
First Line : 80 IRVING PL
Second Line :
City : GARFIELD
State : NJ
Zip : 07026-1241
Country : US
Telephone Number : 973-340-5574
Fax Number :
Provider Business Practice Location Address
First Line : 342 CLAREMONT AVE
Second Line :
City : VERONA
State : NJ
Zip : 07044-2140
Country : US
Telephone Number : 973-559-0901
Fax Number : 973-559-0903
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2011
Last Update Date : 09/14/2011

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