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General NPI Number Information
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NPI Number | 1255047965
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Entity Type | Organization
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Legal Business Name | ONEHEALTH PHARMACY LLC
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Dates
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Enumeration Date | 01/26/2023
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Last Update Date | 03/12/2024
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Provider Practice Location Address
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Address Line | 226 N BELLE MEAD RD STE B
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City | EAST SETAUKET
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State | NY
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Zip | 11733-3524
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Country | US
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Telephone | 631-675-5173
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Fax | 631-675-2609
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Provider Business Mailing Address
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Address Line | 226 N BELLE MEAD RD STE B
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City | EAST SETAUKET
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State | NY
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Zip | 11733-3524
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Country | US
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Telephone | 631-675-5173
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Fax | 631-675-2609
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Authorized Official
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Title or Position | PHARMACIST
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Name | MR. MICHAEL FEDIDA
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Credential | RPH, M.S.
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Telephone | 516-991-4600
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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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