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General NPI Number Information
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NPI Number | 1164861837
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Entity Type | Organization
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Legal Business Name | HANCOCK PHARMACY INC
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Dates
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Enumeration Date | 06/17/2013
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Last Update Date | 03/04/2019
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Provider Practice Location Address
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Address Line | 715 KNICKERBOCKER AVE
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City | BROOKLYN
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State | NY
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Zip | 11221-5337
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Country | US
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Telephone | 718-497-7000
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Fax | 718-497-8000
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Provider Business Mailing Address
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Address Line | 715 KNICKERBOCKER AVE
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City | BROOKLYN
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State | NY
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Zip | 11221-5337
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Country | US
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Telephone | 718-497-7000
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Fax | 718-497-8000
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. SRIDHAR ADDEPALLI
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Credential |
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Telephone | 718-497-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 031928
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License Number State | NY
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