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General NPI Number Information
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NPI Number | 1023422813
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Entity Type | Organization
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Legal Business Name | GOLDEN PHARMACEUTICAL INC
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Dates
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Enumeration Date | 06/19/2014
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Last Update Date | 10/16/2014
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Provider Practice Location Address
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Address Line | 1077 SUFFOLK AVE
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City | BRENTWOOD
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State | NY
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Zip | 11717-4503
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Country | US
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Telephone | 631-273-0101
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Fax |
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Provider Business Mailing Address
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Address Line | 22 HIGHLAND RD
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City | BRENTWOOD
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State | NY
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Zip | 11717-1609
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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 | YOLANDA ALCALA
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Credential |
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Telephone | 631-796-6415
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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 |
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License Number State |
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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 | 032917
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License Number State | NY
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