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General NPI Number Information
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NPI Number | 1013354364
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Entity Type | Organization
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Legal Business Name | ROCKWAY COMMUNITY PHARMACY INC
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Dates
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Enumeration Date | 05/28/2013
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Last Update Date | 05/28/2013
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Provider Practice Location Address
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Address Line | 4320 43RD AVE
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City | SUNNYSIDE
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State | NY
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Zip | 11104-2212
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Country | US
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Telephone | 718-937-0890
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Fax |
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Provider Business Mailing Address
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Address Line | 75 HILLSIDE LN
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City | NEW HYDE PARK
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State | NY
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Zip | 11040-2505
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ABDUL SIDDIQUI
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Credential |
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Telephone | 516-225-1252
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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 | 17-031971
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License Number State | NY
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