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General NPI Number Information
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NPI Number | 1073678496
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Entity Type | Organization
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Legal Business Name | ARYAN LLC
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 774 FARMINGTON AVE
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City | WEST HARTFORD
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State | CT
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Zip | 06119-1615
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Country | US
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Telephone | 860-232-4595
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Fax | 860-236-9525
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Provider Business Mailing Address
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Address Line | 774 FARMINGTON AVE
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City | WEST HARTFORD
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State | CT
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Zip | 06119-1615
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Country | US
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Telephone | 860-232-4595
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Fax | 860-236-9525
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Authorized Official
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Title or Position | OWNER PHARMACIST
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Name | YEHIA ARYAN
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Credential | RPH
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Telephone | 860-232-4595
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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 | PCY2084
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 004267482
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 2084
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License Number State | CT
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Taxonomy #4
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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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