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General NPI Number Information
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NPI Number | 1245998236
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Entity Type | Organization
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Legal Business Name | GULISTAN PHARMACY INC
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Dates
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Enumeration Date | 12/07/2021
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Last Update Date | 12/07/2021
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Provider Practice Location Address
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Address Line | 7524 37TH AVE
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-6538
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Country | US
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Telephone | 718-440-9606
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Fax | 718-440-9604
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Provider Business Mailing Address
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Address Line | 7524 37TH AVE
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-6538
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Country | US
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Telephone | 718-440-9606
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Fax | 718-440-9604
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Authorized Official
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Title or Position | OWNER
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Name | SALAUDDIN RAHMAN
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Credential |
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Telephone | 718-440-9606
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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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