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General NPI Number Information
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NPI Number | 1285301929
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Entity Type | Organization
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Legal Business Name | PINE HILL PHARMACY LLC
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Dates
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Enumeration Date | 08/29/2021
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Last Update Date | 01/07/2022
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Provider Practice Location Address
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Address Line | 19 N MAIN ST
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City | SHERBORN
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State | MA
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Zip | 01770-1553
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Country | US
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Telephone | 508-545-0946
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Fax |
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Provider Business Mailing Address
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Address Line | 19 N MAIN ST
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City | SHERBORN
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State | MA
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Zip | 01770-1553
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALI ARDAKANI
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Credential | RPH
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Telephone | 508-545-0946
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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 |
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License Number State |
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