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NPI 1205979721

NPI 1205979721 : BAYARD L C PHARMACY CORP : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1205979721
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    Entity Type          |    Organization 
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    Legal Business Name  |    BAYARD L C PHARMACY CORP 
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Dates
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    Enumeration Date     |    02/14/2007
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    Last Update Date     |    09/26/2025
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Provider Practice Location Address
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    Address Line         |    62 BAYARD ST 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10013-4938
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    Country              |    US
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    Telephone            |    212-219-8116
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    Fax                  |    212-219-8115
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Provider Business Mailing Address
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    Address Line         |    62 BAYARD ST 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10013-4938
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    Country              |    US
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    Telephone            |    212-219-8116
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    Fax                  |    212-219-8115
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     TIAN XIA  CHEN 
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    Credential           |    
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    Telephone            |    212-219-8116
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    
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    License Number State |    
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