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General NPI Number Information
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NPI Number | 1023658135
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Entity Type | Organization
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Legal Business Name | ROSEHILL PHARMACY CORP
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Dates
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Enumeration Date | 01/07/2020
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Last Update Date | 01/30/2021
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Provider Practice Location Address
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Address Line | 392B BEDFORD PARK BLVD
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City | BRONX
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State | NY
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Zip | 10458-2415
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Country | US
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Telephone | 718-684-8865
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Fax |
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Provider Business Mailing Address
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Address Line | 392B BEDFORD PARK BLVD
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City | BRONX
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State | NY
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Zip | 10458-2415
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Country | US
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Telephone | 718-684-8864
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSEPH BABAKHANOV
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Credential |
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Telephone | 718-684-8864
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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 |
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License Number State |
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