Jack Kolacz

Pharmacist · Maspeth, NY

Individual Active NPI

NPI number 1750892071

Practice location

6402 Flushing Ave
Maspeth, NY 11378-2833
Phone
(718) 416-1749
Fax
(718) 416-1752

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NPI record

NPI
1750892071
Entity type
Individual (Type 1)
Enumeration date
October 12, 2017
Last updated
October 12, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 043170 NY

About Jack Kolacz

Jack Kolacz is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 6402 Flushing Ave, Maspeth, NY 11378-2833. The NPI number 1750892071 was assigned on October 12, 2017 and the record was last updated on October 12, 2017.

Jack Kolacz lists a license in the registry: #043170 (NY) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jack Kolacz?

The NPI number is 1750892071.

What is the phone number of Jack Kolacz?

The phone number listed for the practice location is (718) 416-1749.

Where is Jack Kolacz located?

6402 Flushing Ave, Maspeth, NY 11378-2833.

What is the taxonomy code for Jack Kolacz?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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