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General NPI Number Information
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NPI Number | 1245622620
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Entity Type | Organization
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Legal Business Name | NISH PHARMACY INC
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Dates
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Enumeration Date | 02/23/2015
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Last Update Date | 02/23/2015
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Provider Practice Location Address
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Address Line | 667 ALLERTON AVE
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City | BRONX
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State | NY
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Zip | 10467-7405
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Country | US
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Telephone | 171-899-4444
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Fax | 171-899-4445
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Provider Business Mailing Address
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Address Line | 667 ALLERTON AVE
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City | BRONX
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State | NY
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Zip | 10467-7405
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Country | US
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Telephone | 171-899-4444
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Fax | 171-899-4445
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Authorized Official
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Title or Position | PRESIDENT
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Name | SUBRAMONY N IYER
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Credential | PHARMACIST
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Telephone | 16462040574
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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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