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General NPI Number Information
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NPI Number | 1275442089
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Entity Type | Organization
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Legal Business Name | INVERSA RX PHARMACY LLC
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Dates
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Enumeration Date | 09/07/2026
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Last Update Date | 09/07/2026
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Provider Practice Location Address
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Address Line | 3545 WHITE PLAINS RD
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City | BRONX
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State | NY
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Zip | 10467-5705
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Country | US
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Telephone | 929-717-4415
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Fax | 929-717-5168
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Provider Business Mailing Address
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Address Line | 3545 WHITE PLAINS RD
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City | BRONX
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State | NY
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Zip | 10467-5705
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Country | US
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Telephone | 929-717-4415
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Fax | 929-717-5168
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Authorized Official
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Title or Position | OWNER & MANAGING MEMBER
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Name | MR. HAYWOOD HAWTHORNE
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Credential |
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Telephone | 914-433-6876
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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