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General NPI Number Information
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NPI Number | 1144326984
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Entity Type | Organization
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Legal Business Name | OM PHARMACY INC.
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 02/28/2008
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Provider Practice Location Address
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Address Line | 42 THOMAS S BOYLAND ST
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City | BROOKLYN
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State | NY
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Zip | 11233-2028
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Country | US
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Telephone | 718-453-1003
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Fax | 718-453-6121
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Provider Business Mailing Address
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Address Line | 42 THOMAS S BOYLAND ST
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City | BROOKLYN
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State | NY
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Zip | 11233-2028
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Country | US
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Telephone | 718-453-1003
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Fax | 718-453-6121
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Authorized Official
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Title or Position | PRESIDENT
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Name | ARVIND KARAJGIKAR
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Credential |
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Telephone | 718-453-1003
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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 | 016655
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License Number State | NY
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