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General NPI Number Information
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NPI Number | 1154497329
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Entity Type | Organization
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Legal Business Name | CRIMMINS PHARMACY, INC.
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 10924 US ROUTE 11 SUITE 3
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City | ADAMS
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State | NY
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Zip | 13605-3125
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Country | US
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Telephone | 315-232-2460
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Fax | 315-232-2482
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Provider Business Mailing Address
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Address Line | 10924 US ROUTE 11 SUITE 3
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City | ADAMS
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State | NY
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Zip | 13605-3125
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Country | US
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Telephone | 315-232-2460
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Fax | 315-232-2482
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Authorized Official
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Title or Position | OWNER
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Name | KEITH F CRIMMINS
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Credential | R.PH.
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Telephone | 315-232-2460
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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 |
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License Number State | NY
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