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General NPI Number Information
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NPI Number | 1255468773
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Entity Type | Organization
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Legal Business Name | J&K PHARMACY
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 440 EAST 138ST #3A J&K PHARMACY
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City | BRONX
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State | NY
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Zip | 10454
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Country | US
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Telephone | 718-401-7375
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Fax | 718-401-7375
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Provider Business Mailing Address
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Address Line | 440 EAST 138ST #3A J&K PHARMACY
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City | BRONX
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State | NY
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Zip | 10454
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Country | US
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Telephone | 718-401-7375
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Fax | 718-401-7375
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Authorized Official
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Title or Position | OWNER AND SUPERVISION PHARMACIST
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Name | WAI LOI LAU
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Credential | R PH
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Telephone | 718-401-7375
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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 | 024638
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License Number State | NY
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