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General NPI Number Information
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NPI Number | 1154331080
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Entity Type | Organization
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Legal Business Name | MERCALDO APOTHECARY INC
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 01/23/2021
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Provider Practice Location Address
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Address Line | 588 PLANDOME ROAD
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City | MANHASSET
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State | NY
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Zip | 11030
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Country | US
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Telephone | 516-627-2500
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Fax | 516-627-8542
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Provider Business Mailing Address
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Address Line | 588 PLANDOME ROAD
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City | MANHASSET
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State | NY
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Zip | 11030
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Country | US
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Telephone | 516-627-2500
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Fax | 516-627-8542
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. ANTHONY A MERCALDO
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Credential | R PH
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Telephone | 516-627-2500
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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 | 022112
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License Number State | NY
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