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NPI Code Detail

MEDICARE: DR. MARY-ATTRACTA IBEGBU RPH, PHARMD

MEDICARE: DR. MARY-ATTRACTA IBEGBU RPH, PHARMD
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
1183500000XPharmacist041180NY

General Provider Information

NPI Number : 1972517829
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARY-ATTRACTA IBEGBU RPH, PHARMD
Provider Business Mailing Address
First Line : 32 PARLIAMENT CT
Second Line :
City : GETZVILLE
State : NY
Zip : 14068-1178
Country : US
Telephone Number : 716-880-9838
Fax Number :
Provider Business Practice Location Address
First Line : 3435 BAILEY AVE STE 2
Second Line :
City : BUFFALO
State : NY
Zip : 14215-1145
Country : US
Telephone Number : 716-306-2226
Fax Number : 716-529-0066
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2006
Last Update Date : 01/26/2026

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