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General NPI Number Information
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NPI Number | 1265864912
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Entity Type | Organization
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Legal Business Name | TAS PHARMACY INC
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Dates
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Enumeration Date | 08/05/2013
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Last Update Date | 08/05/2013
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Provider Practice Location Address
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Address Line | 445 NORTH ST ROUTE 17 M
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City | MIDDLETOWN
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State | NY
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Zip | 10940-0000
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Country | US
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Telephone | 845-344-4050
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Fax | 845-344-4402
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Provider Business Mailing Address
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Address Line | 445 NORTH ST ROUTE 17 M
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City | MIDDLETOWN
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State | NY
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Zip | 10940-0000
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Country | US
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Telephone | 845-344-4050
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Fax | 845-344-4402
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. MUHAMMAD S RAHMAN
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Credential |
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Telephone | 845-800-5453
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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 | 032054
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License Number State | NY
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