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General NPI Number Information
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NPI Number | 1225107170
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Entity Type | Organization
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Legal Business Name | GOLD STAR PHARMACY INC
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 06/09/2010
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Provider Practice Location Address
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Address Line | 601 S MAIN ST
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City | NORTH SYRACUSE
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State | NY
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Zip | 13212-3614
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Country | US
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Telephone | 315-458-4500
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Fax | 315-458-2163
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Provider Business Mailing Address
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Address Line | 601 S MAIN ST
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City | NORTH SYRACUSE
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State | NY
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Zip | 13212-3614
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Country | US
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Telephone | 315-458-4500
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Fax | 315-458-2163
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Authorized Official
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Title or Position | PHARM
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Name | JEFFREY ZLOTNICK
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Credential | RPH
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Telephone | 315-452-3280
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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 | 020722
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License Number State | NY
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