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General NPI Number Information
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NPI Number | 1275377780
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Entity Type | Organization
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Legal Business Name | DUMBO MARKET PHARMACY
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Dates
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Enumeration Date | 06/20/2024
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Last Update Date | 06/20/2024
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Provider Practice Location Address
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Address Line | 205 SMITH ST
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City | BROOKLYN
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State | NY
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Zip | 11201-7667
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Country | US
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Telephone | 347-564-8956
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Fax |
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Provider Business Mailing Address
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Address Line | 205 SMITH ST
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City | BROOKLYN
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State | NY
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Zip | 11201-7667
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Country | US
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Telephone | 347-564-8956
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAWAD SALEH
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Credential | PHARMD, MCSO, B.S.
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Telephone | 347-564-8956
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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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