MEDICARE: AMERIWAY 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
1	3336C0003X	Community/Retail Pharmacy	027913	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2068541	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972685766
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERIWAY PHARMACY INC

Provider Business Mailing Address
First Line	:	2272 86TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-4138
Country	:	US
Telephone Number	:	718-872-5737
Fax Number	:	718-872-5723

Provider Business Practice Location Address
First Line	:	2272 86TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11214-4138
Country	:	US
Telephone Number	:	718-872-5737
Fax Number	:	718-872-5723

Authorized Official
Title or Position	:	SUPERVISING PHARMACIST
Name	:	SINH TRUONG
Credential	:
Telephone Number	:	718-872-5737

Provider Enumeration Date	:	10/20/2006
Last Update Date	:	07/07/2016

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Directions to “AMERIWAY PHARMACY INC ” Practice Location

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