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General NPI Number Information
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NPI Number | 1225661499
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Entity Type | Organization
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Legal Business Name | PHARMEX PHARMACY INC
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Dates
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Enumeration Date | 02/17/2020
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Last Update Date | 10/02/2023
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Provider Practice Location Address
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Address Line | 142-08 ROCKAWAY BLVD
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City | JAMAICA
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State | NY
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Zip | 11436
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Country | US
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Telephone | 917-444-1985
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Fax | 718-504-4811
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Provider Business Mailing Address
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Address Line | 142-08 ROCKAWAY BLVD
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City | JAMAICA
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State | NY
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Zip | 11436
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Country | US
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Telephone | 917-444-1985
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Fax | 718-504-4811
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | MR. MATTHEW PERSAUD
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Credential |
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Telephone | 347-846-3173
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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