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General NPI Number Information
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NPI Number | 1134420193
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Entity Type | Organization
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Legal Business Name | TOWER PHARMACY INC
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Dates
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Enumeration Date | 11/08/2010
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Last Update Date | 01/12/2011
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Provider Practice Location Address
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Address Line | 4192 STATE HIGHWAY 30
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City | AMSTERDAM
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State | NY
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Zip | 12010-6202
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Country | US
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Telephone | 518-883-8400
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Fax | 518-883-8400
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Provider Business Mailing Address
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Address Line | 4192 STATE HIGHWAY 30
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City | AMSTERDAM
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State | NY
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Zip | 12010-6202
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Country | US
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Telephone | 518-883-8400
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Fax | 518-883-8400
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MARK MURPHY
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Credential |
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Telephone | 518-852-2279
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 030377
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License Number State | NY
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