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General NPI Number Information
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NPI Number | 1306568175
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Entity Type | Organization
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Legal Business Name | CHEMIST ON BAY INC
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Dates
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Enumeration Date | 09/16/2022
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Last Update Date | 09/26/2022
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Provider Practice Location Address
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Address Line | 690 BAY ST
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City | STATEN ISLAND
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State | NY
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Zip | 10304-3890
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Country | US
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Telephone | 718-374-5750
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Fax | 718-374-5751
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Provider Business Mailing Address
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Address Line | 127 CROAK AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10314-5640
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Country | US
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Telephone | 347-374-0430
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Fax |
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Authorized Official
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Title or Position | SUPERVISING PHARMACIST
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Name | DR. HUSAM FARHOUD
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Credential | PHARM D
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Telephone | 347-374-0430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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