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General NPI Number Information
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NPI Number | 1104635846
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Entity Type | Organization
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Legal Business Name | PHARMACY ON THE PARK CORPORATION
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Dates
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Enumeration Date | 01/07/2025
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 1674 PARK AVE STE B
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City | NEW YORK
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State | NY
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Zip | 10035-4785
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Country | US
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Telephone | 212-860-0939
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Fax |
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Provider Business Mailing Address
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Address Line | 1674 PARK AVE STE B
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City | NEW YORK
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State | NY
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Zip | 10035-4785
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Country | US
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Telephone | 347-799-0051
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ARTUR BABAYEV
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Credential |
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Telephone | 347-799-0051
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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 |
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License Number State |
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