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General NPI Number Information
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NPI Number | 1073083374
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Entity Type | Organization
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Legal Business Name | SMARTRX PHARMACY, INC.
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Dates
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Enumeration Date | 11/29/2018
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Last Update Date | 06/21/2023
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Provider Practice Location Address
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Address Line | 1706 LEXINGTON AVE
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City | NEW YORK
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State | NY
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Zip | 10029-3936
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Country | US
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Telephone | 718-742-7622
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Fax | 718-742-7622
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Provider Business Mailing Address
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Address Line | 1706 LEXINGTON AVE
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City | NEW YORK
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State | NY
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Zip | 10029-3936
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Country | US
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Telephone | 718-742-7622
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Fax | 718-742-7622
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Authorized Official
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Title or Position | PRESIDENT
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Name | VINAY DESAI
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Credential |
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Telephone | 718-742-7622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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