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NPI Code Detail

MEDICARE: MS. MUZIT RAHEL IYASSU PHARM.D.

MEDICARE:  MS. MUZIT RAHEL IYASSU  PHARM.D.
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
1183500000XPharmacist053447NY
2183500000XPharmacist45832TX
3183500000XPharmacistRPH024158GA

General Provider Information

NPI Number : 1942523865
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MUZIT RAHEL IYASSU PHARM.D.
Provider Business Mailing Address
First Line : 1366 BROADWAY
Second Line :
City : BROOKLYN
State : NY
Zip : 11221-3615
Country : US
Telephone Number : 718-452-6391
Fax Number :
Provider Business Practice Location Address
First Line : 1366 BROADWAY
Second Line :
City : BROOKLYN
State : NY
Zip : 11221-3615
Country : US
Telephone Number : 718-452-6391
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2010
Last Update Date : 03/17/2010

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Directions to “ MS. MUZIT RAHEL IYASSU PHARM.D.” Practice Location

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