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General NPI Number Information
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NPI Number | 1093570913
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Entity Type | Organization
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Legal Business Name | S B V PHARMACY CORP
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Dates
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Enumeration Date | 02/20/2024
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Last Update Date | 02/20/2024
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Provider Practice Location Address
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Address Line | 217 E 106TH ST
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City | NEW YORK
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State | NY
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Zip | 10029-4005
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Country | US
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Telephone | 212-534-1939
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Fax | 212-534-4377
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Provider Business Mailing Address
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Address Line | 217 E 106TH ST
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City | NEW YORK
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State | NY
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Zip | 10029-4005
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Country | US
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Telephone | 212-534-1939
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. VIJAY K VASIREDDY
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Credential | RPH
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Telephone | 914-318-0787
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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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