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General NPI Number Information
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NPI Number | 1275955056
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Entity Type | Organization
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Legal Business Name | ROSEDALE PHARMACY LLC
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Dates
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Enumeration Date | 01/13/2014
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 1737 E 174TH ST
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City | BRONX
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State | NY
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Zip | 10472-1801
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Country | US
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Telephone | 718-684-2318
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Fax | 718-684-2320
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Provider Business Mailing Address
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Address Line | 3671 BRONXWOOD AVE
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City | BRONX
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State | NY
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Zip | 10469-1147
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Country | US
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Telephone | 718-684-2318
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Fax | 718-684-2320
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Authorized Official
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Title or Position | MEMBER
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Name | CHAIM GLICK
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Credential |
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Telephone | 718-684-2318
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 032408
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License Number State | NY
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