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General NPI Number Information
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NPI Number | 1033681747
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Entity Type | Organization
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Legal Business Name | RELION PHARMACY
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Dates
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Enumeration Date | 12/19/2018
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Last Update Date | 12/19/2018
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Provider Practice Location Address
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Address Line | 1607 WILLIAMSBRIDGE RD
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City | BRONX
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State | NY
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Zip | 10461-6201
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Country | US
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Telephone | 347-691-3922
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Fax |
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Provider Business Mailing Address
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Address Line | 2614 DECATUR AVE
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City | BRONX
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State | NY
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Zip | 10458-4804
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Country | US
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Telephone | 718-584-6561
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Fax |
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Authorized Official
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Title or Position | PHARMACY TECH
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Name | JACKIE PAGAN
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Credential |
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Telephone | 474-306-5053
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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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