{
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"IsOrgSubpart": "N",
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"OrgName": "VERA I PHARMACY LLC",
"LastName": null,
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"NamePrefix": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "9402A 63RD DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "REGO PARK",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "11374-2055",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "718-997-1777",
"MailingAddressFaxNumber": "718-997-1877",
"FirstLinePracticeLocationAddress": "94-02A 63 DR",
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"PracticeLocationAddressCityName": "REGO PARK",
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"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "08/17/2009",
"LastUpdateDate": "09/22/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "UVAYDOVA",
"AuthorizedOfficialFirstName": "MILANA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER/SUPERVISING PHARMACIST",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "PHARM D",
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"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "333600000X",
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"PrimaryTaxonomySwitch": "N"
},
{
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}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}