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General NPI Number Information
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NPI Number | 1285001230
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Entity Type | Organization
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Legal Business Name | RITE AID PHARMACY
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Dates
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Enumeration Date | 08/25/2015
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Last Update Date | 08/25/2015
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Provider Practice Location Address
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Address Line | 3131 HEMPSTEAD TPKE
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City | LEVITTOWN
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State | NY
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Zip | 11756-1318
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Country | US
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Telephone | 516-731-2990
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Fax |
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Provider Business Mailing Address
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Address Line | 2306 LAFAYETTE ST
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City | NORTH BELLMORE
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State | NY
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Zip | 11710-2166
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Country | US
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Telephone | 646-269-2431
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | MS. JESSICA CHANDHOK
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Credential | RPH
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Telephone | 64622692431
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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 | 061019
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License Number State | NY
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