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General NPI Number Information
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NPI Number | 1184515918
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Entity Type | Organization
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Legal Business Name | PETCARERX INC.
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Dates
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Enumeration Date | 07/10/2025
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 52 MERTON AVE
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City | LYNBROOK
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State | NY
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Zip | 11563-3829
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Country | US
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Telephone | 516-998-7899
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Fax |
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Provider Business Mailing Address
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Address Line | 52 MERTON AVE
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City | LYNBROOK
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State | NY
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Zip | 11563-3829
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY SERVICES / PIC
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Name | MR. ERNEST EZUE
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Credential | RPH
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Telephone | 516-998-7899
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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 | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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