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NPI 1003314550

NPI 1003314550 : AE3 PHARMACY INC. : BROOKLYN, NY

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General NPI Number Information
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    NPI Number           |    1003314550
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    Entity Type          |    Organization 
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    Legal Business Name  |    AE3 PHARMACY INC. 
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Dates
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    Enumeration Date     |    01/30/2018
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    Last Update Date     |    10/05/2023
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Provider Practice Location Address
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    Address Line         |    818 57TH ST 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11220-3618
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    Country              |    US
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    Telephone            |    718-972-1852
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    Fax                  |    718-972-1634
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Provider Business Mailing Address
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    Address Line         |    818 57TH ST 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11220-3618
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    Country              |    US
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    Telephone            |    718-972-1852
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    Fax                  |    718-972-1634
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MS. ZENGHUI  CHEN 
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    Credential           |    
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    Telephone            |    718-972-1852
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    035956
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    License Number State |    NY
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