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NPI Code Detail

MEDICARE: CAREWELL PHARMACY SERVICES INC

MEDICARE: CAREWELL PHARMACY SERVICES 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
1333600000XPharmacy
23336M0003XManaged Care Organization Pharmacy
33336C0003XCommunity/Retail Pharmacy036519NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12177333OTHERPK

General Provider Information

NPI Number : 1932697216
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAREWELL PHARMACY SERVICES INC
Provider Business Mailing Address
First Line : 2259 CHURCH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11226-3201
Country : US
Telephone Number : 718-676-4114
Fax Number : 718-228-8786
Provider Business Practice Location Address
First Line : 2259 CHURCH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11226-3201
Country : US
Telephone Number : 718-676-4114
Fax Number : 718-228-8786
Authorized Official
Title or Position : PRESIDENT
Name : MUHAMMAD TUQEER AJMAL
Credential : PHARMD
Telephone Number : 518-960-7582
Provider Enumeration Date : 04/23/2018
Last Update Date : 06/08/2021

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