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General NPI Number Information
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NPI Number | 1285750026
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Entity Type | Organization
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Legal Business Name | 37-17 UNION PHARMACY CORP.
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 04/08/2010
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Provider Practice Location Address
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Address Line | 3632 UNION ST
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City | FLUSHING
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State | NY
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Zip | 11354-4195
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Country | US
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Telephone | 718-961-6010
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Fax | 718-358-9221
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Provider Business Mailing Address
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Address Line | 3632 UNION ST
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City | FLUSHING
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State | NY
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Zip | 11354-4195
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Country | US
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Telephone | 718-961-6010
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Fax | 718-358-9221
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Authorized Official
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Title or Position | PHARMACIST
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Name | MRS. INSOON SHIN
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Credential |
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Telephone | 718-961-6010
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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 | 026628
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License Number State | NY
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