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General NPI Number Information
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NPI Number | 1275372864
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Entity Type | Organization
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Legal Business Name | C&C DRUG INC.
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Dates
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Enumeration Date | 05/22/2024
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Last Update Date | 05/22/2024
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Provider Practice Location Address
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Address Line | 1 AUDUBON AVE
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City | NEW YORK
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State | NY
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Zip | 10032-2225
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Country | US
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Telephone | 212-543-1554
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Fax | 212-543-1940
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Provider Business Mailing Address
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Address Line | 1 AUDUBON AVE
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City | NEW YORK
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State | NY
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Zip | 10032-2225
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SECRETARY TREASURER
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Name | DAVID F CHAN
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Credential |
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Telephone | 212-543-1554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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