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General NPI Number Information
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NPI Number | 1043245517
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Entity Type | Organization
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Legal Business Name | MEADOW PARK DRUG INC.
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 05/20/2008
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Provider Practice Location Address
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Address Line | 10807 CORONA AVE
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City | CORONA
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State | NY
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Zip | 11368-3941
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Country | US
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Telephone | 718-699-7171
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Fax | 718-699-7554
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Provider Business Mailing Address
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Address Line | 10807 CORONA AVE
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City | CORONA
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State | NY
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Zip | 11368-3941
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Country | US
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Telephone | 718-699-7171
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Fax | 718-699-7554
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Authorized Official
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Title or Position | R.PH.
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Name | MR. WILLIAM A SCHWEITZER
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Credential | R.PH
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Telephone | 718-699-7171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 012275
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License Number State | NY
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