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NPI Code Detail

MEDICARE: NOSTRAND PHARMACY LLC

MEDICARE: NOSTRAND PHARMACY LLC
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
13336C0004XCompounding Pharmacy
2333600000XPharmacy
33336C0003XCommunity/Retail Pharmacy030625NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15802396OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number : 1952600439
Entity Type Code : Organization
Provider Name (Legal Business Name) : NOSTRAND PHARMACY LLC
Provider Business Mailing Address
First Line : 1887 NOSTRAND AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11226-7917
Country : US
Telephone Number : 718-282-2956
Fax Number : 718-282-6556
Provider Business Practice Location Address
First Line : 1887 NOSTRAND AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11226-7917
Country : US
Telephone Number : 718-282-2956
Fax Number : 718-282-6556
Authorized Official
Title or Position : PRESIDENT
Name : HEMAGIRI GAYAM
Credential :
Telephone Number : 718-282-2956
Provider Enumeration Date : 03/23/2011
Last Update Date : 09/02/2011

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