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General NPI Number Information
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NPI Number | 1033683891
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Entity Type | Organization
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Legal Business Name | ANCHOR RX PHARMACY INC.
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Dates
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Enumeration Date | 01/15/2019
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 3110 LONG BEACH RD
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City | OCEANSIDE
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State | NY
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Zip | 11572-3200
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Country | US
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Telephone | 516-992-8449
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Fax | 516-992-8451
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Provider Business Mailing Address
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Address Line | 3110 LONG BEACH RD
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City | OCEANSIDE
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State | NY
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Zip | 11572-3200
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Country | US
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Telephone | 516-992-8449
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Fax | 516-992-8451
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Authorized Official
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Title or Position | OWNER
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Name | MAISEY KHODZHAYEV
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Credential |
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Telephone | 646-712-4307
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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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