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General NPI Number Information
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NPI Number | 1134441413
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Entity Type | Organization
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Legal Business Name | CVSPHARMACY
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Dates
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Enumeration Date | 02/27/2010
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Last Update Date | 02/27/2010
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Provider Practice Location Address
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Address Line | 585 YONKERS AVE
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City | YONKERS
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State | NY
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Zip | 10704-2628
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Country | US
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Telephone | 914-423-5964
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Fax | 914-476-6738
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Provider Business Mailing Address
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Address Line | 585 YONKERS AVE
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City | YONKERS
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State | NY
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Zip | 10704-2628
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Country | US
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Telephone | 914-423-5964
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Fax | 914-476-6738
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Authorized Official
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Title or Position | PHARMACIST
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Name | RASHIDAH QIZILBASH
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Credential | RPH
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Telephone | 914-423-5964
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 047095
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License Number State | NY
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