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General NPI Number Information
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NPI Number | 1093099038
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Entity Type | Organization
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Legal Business Name | HUDSON VIEW PHARMACY, INC.
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Dates
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Enumeration Date | 10/10/2011
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Last Update Date | 12/09/2014
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Provider Practice Location Address
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Address Line | 147 LAKE ST STE 101
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City | NEWBURGH
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State | NY
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Zip | 12550-5264
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Country | US
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Telephone | 845-561-4370
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Fax | 845-561-4263
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Provider Business Mailing Address
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Address Line | 147 LAKE ST STE. 101
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City | NEWBURGH
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State | NY
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Zip | 12550-5263
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Country | US
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Telephone | 845-561-4370
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Fax | 845-561-4263
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Authorized Official
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Title or Position | SUPERVISING PHARMACIST
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Name | NEERAJ GUPTA
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Credential |
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Telephone | 845-561-4370
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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 | 031057
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License Number State | NY
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