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NPI Code Detail

MEDICARE: RUEL PHARMACY CORP

MEDICARE: RUEL PHARMACY CORP
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
23336C0003XCommunity/Retail Pharmacy027358NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12065628OTHERPK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952498156
Entity Type Code : Organization
Provider Name (Legal Business Name) : RUEL PHARMACY CORP
Provider Business Mailing Address
First Line : 3692 NOSTRAND AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-5303
Country : US
Telephone Number : 718-769-9600
Fax Number : 718-769-9630
Provider Business Practice Location Address
First Line : 3692 NOSTRAND AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11229-5303
Country : US
Telephone Number : 718-769-9600
Fax Number : 718-769-9630
Authorized Official
Title or Position : OWNER
Name : UZAIR NABI
Credential :
Telephone Number : 718-769-9600
Provider Enumeration Date : 10/07/2006
Last Update Date : 07/09/2024

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Directions to “RUEL PHARMACY CORP ” Practice Location

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