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General NPI Number Information
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NPI Number | 1154666444
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Entity Type | Organization
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Legal Business Name | CUTCHOGUE BARTHS PHARMACY INC
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Dates
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Enumeration Date | 11/28/2012
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Last Update Date | 08/01/2018
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Provider Practice Location Address
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Address Line | 28195 MAIN ROAD
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City | CUTCHOGUE
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State | NY
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Zip | 11935
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Country | US
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Telephone | 631-734-6796
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Fax | 631-734-2382
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Provider Business Mailing Address
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Address Line | 73 JAGGER LANE
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City | WESTHAMPTON
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State | NY
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Zip | 11977
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Country | US
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Telephone | 631-902-1865
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Fax | 631-998-3642
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MR. LOUIS VINCENT CASSARA
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Credential |
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Telephone | 631-734-6796
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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 | 031625
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License Number State | NY
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Taxonomy #2
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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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