Individual ProviderOlivia Gladys FunkPharmacistPharmacy Service ProvidersPractice Address1 University Plz, Brooklyn, NY 11201-5372(570) 316-5786PECOS EnrollmentBased on the most recent information from CMS, provider Olivia Gladys Funk does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1861078057Provider TypeIndividualFull NameFunk, Olivia GladysGenderFemaleSole ProprietorYesEnumeration Date3/19/2021Last Updated9/29/2023Contact InformationPractice LocationPractice Address1 University Plz, Brooklyn, NY 11201-5372Phone(570) 316-5786FaxUnlisted FaxMailing LocationMailing Address1 University Plz, Brooklyn, NY 11201-5372PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense070845New York