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General NPI Number Information
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NPI Number | 1083640411
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Entity Type | Organization
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Legal Business Name | MORALES PHARMACY INC.
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Dates
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Enumeration Date | 06/25/2006
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 1412A JEROME AVE
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City | BRONX
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State | NY
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Zip | 10452-3306
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Country | US
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Telephone | 718-293-5832
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Fax | 718-293-6349
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Provider Business Mailing Address
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Address Line | 1412A JEROME AVE
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City | BRONX
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State | NY
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Zip | 10452-3306
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Country | US
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Telephone | 718-293-5832
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Fax | 718-293-6349
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Authorized Official
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Title or Position | PHARMACIST-IN-CHARGE
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Name | MRS. SHARON MOLANO
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Credential | R-PH
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Telephone | 718-293-5832
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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 | 017229
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License Number State | NY
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