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General NPI Number Information
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NPI Number | 1174694855
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Entity Type | Organization
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Legal Business Name | TU FARMACIA INC
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 553 SOUTHERN BLVD
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City | BRONX
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State | NY
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Zip | 10455-3762
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Country | US
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Telephone | 718-292-8513
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Fax | 718-292-5246
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Provider Business Mailing Address
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Address Line | 553 SOUTHERN BLVD
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City | BRONX
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State | NY
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Zip | 10455-3762
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Country | US
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Telephone | 718-292-8513
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Fax | 718-292-5246
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Authorized Official
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Title or Position | PRESIDENT
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Name | SYED HASAN MOMIN
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Credential | PHARMACIST
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Telephone | 718-292-8513
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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 | 018558
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License Number State | NY
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