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General NPI Number Information
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NPI Number | 1104096213
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Entity Type | Organization
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Legal Business Name | AMIN PHARMACY INC
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Dates
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Enumeration Date | 03/04/2008
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Last Update Date | 12/26/2014
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Provider Practice Location Address
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Address Line | 29 03 36TH AVE
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City | LONG ISLAND CITY
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State | NY
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Zip | 11106
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Country | US
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Telephone | 718-786-6611
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Fax | 718-786-6613
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Provider Business Mailing Address
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Address Line | 29 03 36TH AVE
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City | LONG ISLAND CITY
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State | NY
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Zip | 11106
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Country | US
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Telephone | 718-786-6611
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Fax | 718-786-6613
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Authorized Official
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Title or Position | PRESIDENT
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Name | MONSUR CHOWDHURY
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Credential |
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Telephone | 718-786-6611
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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 | 028775
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License Number State | NY
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