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NPI Code Detail

MEDICARE: KIOSK PHARMACY INC

MEDICARE: KIOSK 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
13336C0003XCommunity/Retail Pharmacy023416NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962431510
Entity Type Code : Organization
Provider Name (Legal Business Name) : KIOSK PHARMACY INC
Provider Business Mailing Address
First Line : 4101 KISSENA BLVD
Second Line :
City : FLUSHING
State : NY
Zip : 11355-3138
Country : US
Telephone Number : 718-463-2261
Fax Number : 718-762-7740
Provider Business Practice Location Address
First Line : 4101 KISSENA BLVD
Second Line :
City : FLUSHING
State : NY
Zip : 11355-3138
Country : US
Telephone Number : 718-463-2261
Fax Number : 718-762-7740
Authorized Official
Title or Position : PRESIDENT
Name : JAMES WONG
Credential :
Telephone Number : 718-463-2261
Provider Enumeration Date : 07/03/2006
Last Update Date : 05/17/2011

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Directions to “KIOSK PHARMACY INC ” Practice Location

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