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General NPI Number Information
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NPI Number | 1205841814
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Entity Type | Organization
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Legal Business Name | GARFIELD PHARMACY OF MERRICK INC
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 07/16/2020
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Provider Practice Location Address
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Address Line | 1760 MERRICK AVE
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City | MERRICK
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State | NY
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Zip | 11566-2728
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Country | US
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Telephone | 516-378-5521
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Fax | 516-378-6195
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Provider Business Mailing Address
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Address Line | 1760 MERRICK AVE
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City | MERRICK
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State | NY
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Zip | 11566-2728
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Country | US
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Telephone | 516-378-5521
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Fax | 516-378-6195
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | ARUNAREKHA VENIGALLA
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Credential | RPH
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Telephone | 347-528-8893
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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 | 016404
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License Number State | NY
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