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General NPI Number Information
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NPI Number | 1245378769
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Entity Type | Organization
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Legal Business Name | PEPCO PHARMACY
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2304 NOSTRAND AVE
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City | BROOKLYN
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State | NY
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Zip | 11210-3840
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Country | US
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Telephone | 718-338-0709
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Fax | 718-252-2284
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Provider Business Mailing Address
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Address Line | 2304 NOSTRAND AVENUE
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City | BROOKLYN
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State | NY
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Zip | 11210
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Country | US
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Telephone | 718-338-0709
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Fax | 718-252-2284
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Authorized Official
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Title or Position | STAFF PHARMACIST
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Name | MR. ARNOLD LUBITZ
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Credential |
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Telephone | 718-338-0709
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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 | 19213
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License Number State | NY
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