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General NPI Number Information
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NPI Number | 1023488681
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Entity Type | Organization
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Legal Business Name | WELLMART RX, INC.
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Dates
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Enumeration Date | 09/25/2015
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Last Update Date | 09/20/2016
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Provider Practice Location Address
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Address Line | 21913 JAMAICA AVE
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City | QUEENS VILLAGE
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State | NY
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Zip | 11428-2126
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Country | US
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Telephone | 718-704-0808
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Fax | 718-704-0818
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Provider Business Mailing Address
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Address Line | 21913 JAMAICA AVE
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City | QUEENS VILLAGE
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State | NY
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Zip | 11428-2126
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Country | US
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Telephone | 718-704-0808
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Fax | 718-704-0818
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Authorized Official
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Title or Position | PRESIDENT
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Name | SIMON DAVYDOV
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Credential |
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Telephone | 718-704-0808
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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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