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NPI Code Detail

MEDICARE: KOBLINS PHARMACY INC

MEDICARE: KOBLINS 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
1333600000XPharmacy012806NY
23336C0003XCommunity/Retail Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
23341776OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

General Provider Information

NPI Number : 1952322927
Entity Type Code : Organization
Provider Name (Legal Business Name) : KOBLINS PHARMACY INC
Provider Business Mailing Address
First Line : 96 MAIN ST
Second Line :
City : NYACK
State : NY
Zip : 10960-3110
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 96 MAIN ST
Second Line :
City : NYACK
State : NY
Zip : 10960-3110
Country : US
Telephone Number : 845-358-0688
Fax Number : 914-358-7966
Authorized Official
Title or Position : PRESIDENT
Name : GERALD KOBLIN
Credential :
Telephone Number : 845-358-0688
Provider Enumeration Date : 07/22/2006
Last Update Date : 09/11/2025

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