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NPI Code Detail

MEDICARE: JRS PHARMACY INC

MEDICARE: JRS 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 Pharmacy032986NY

General Provider Information

NPI Number : 1972903805
Entity Type Code : Organization
Provider Name (Legal Business Name) : JRS PHARMACY INC
Provider Business Mailing Address
First Line : 1712 86TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-2829
Country : US
Telephone Number : 718-513-6642
Fax Number : 718-513-6643
Provider Business Practice Location Address
First Line : 1712 86TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11214-2829
Country : US
Telephone Number : 718-513-6642
Fax Number : 718-513-6643
Authorized Official
Title or Position : OWNER
Name : MAGGIE HO
Credential :
Telephone Number : 347-459-7939
Provider Enumeration Date : 08/28/2014
Last Update Date : 08/28/2014

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