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General NPI Number Information
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NPI Number | 1134639677
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Entity Type | Organization
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Legal Business Name | PHARMACY IN THE SQUARE INC.
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Dates
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Enumeration Date | 10/11/2017
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Last Update Date | 10/11/2017
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Provider Practice Location Address
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Address Line | 940 UNION RD
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City | WEST SENECA
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State | NY
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Zip | 14224-3425
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Country | US
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Telephone | 716-671-5281
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Fax | 716-671-5323
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Provider Business Mailing Address
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Address Line | 940 UNION RD
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City | WEST SENECA
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State | NY
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Zip | 14224-3425
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Country | US
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Telephone | 716-671-5281
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Fax | 716-671-5323
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. CHRISTINE P TODORO
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Credential | R.PH.
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Telephone | 716-671-5281
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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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