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General NPI Number Information
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NPI Number | 1275977795
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Entity Type | Organization
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Legal Business Name | BAZCO PHARMACY INC.
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Dates
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Enumeration Date | 04/26/2013
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 905 HEMPSTEAD TPKE
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City | FRANKLIN SQUARE
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State | NY
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Zip | 11010-3633
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Country | US
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Telephone | 516-492-3204
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Fax | 516-492-3202
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Provider Business Mailing Address
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Address Line | 905 HEMPSTEAD TPKE
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City | FRANKLIN SQUARE
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State | NY
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Zip | 11010-3633
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Country | US
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Telephone | 516-492-3204
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Fax | 516-492-3202
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Authorized Official
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Title or Position | OWNER
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Name | MR. SARFRAZ AHMED
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Credential |
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Telephone | 718-312-2645
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State | NY
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