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General NPI Number Information
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NPI Number | 1003962291
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Entity Type | Organization
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Legal Business Name | SMS PHARMACY CORP.
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Dates
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Enumeration Date | 01/28/2007
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Last Update Date | 09/22/2023
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Provider Practice Location Address
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Address Line | 101 SHERMAN AVE
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City | NEW YORK
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State | NY
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Zip | 10034-5626
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Country | US
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Telephone | 212-567-2753
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Fax | 212-942-1668
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Provider Business Mailing Address
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Address Line | 101 SHERMAN AVE
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City | NEW YORK
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State | NY
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Zip | 10034-5626
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Country | US
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Telephone | 212-567-2753
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Fax |
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Authorized Official
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Title or Position | SUPERVISING PHARMACIST
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Name | SANJAY SHAH
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Credential |
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Telephone | 212-567-2753
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 022261
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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