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General NPI Number Information
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NPI Number | 1285116996
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Entity Type | Organization
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Legal Business Name | WEST 35TH APOTHECARY LLC
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Dates
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Enumeration Date | 08/30/2018
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Last Update Date | 08/30/2018
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Provider Practice Location Address
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Address Line | 147 W 35TH ST FRNT 2
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City | NEW YORK
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State | NY
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Zip | 10001-2110
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Country | US
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Telephone | 212-706-4096
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Fax |
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Provider Business Mailing Address
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Address Line | 147 W 35TH ST FRNT 2
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City | NEW YORK
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State | NY
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Zip | 10001-2110
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Country | US
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Telephone | 212-706-4096
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | DARSHAN PATEL
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Credential |
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Telephone | 732-754-6256
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number | 036668
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License Number State | NY
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