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General NPI Number Information
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NPI Number | 1295782712
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Entity Type | Organization
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Legal Business Name | L.I.CITY PHARMACY INC.
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Dates
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Enumeration Date | 05/29/2006
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Last Update Date | 03/18/2009
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Provider Practice Location Address
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Address Line | 4469 21ST ST
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101-5112
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Country | US
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Telephone | 718-729-6300
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Fax | 718-729-6392
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Provider Business Mailing Address
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Address Line | 4469 21ST ST
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101-5112
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Country | US
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Telephone | 718-729-6300
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Fax | 718-729-6392
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Authorized Official
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Title or Position | DIRECT OWNER/SUPERVISING PHARMACIST
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Name | MISS WOO JUNG CHOI
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Credential | RPH
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Telephone | 718-507-1343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 027844
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License Number State | NY
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