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General NPI Number Information
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NPI Number | 1306903935
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Entity Type | Organization
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Legal Business Name | CHELSEA DRUGS INC
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 12/15/2008
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Provider Practice Location Address
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Address Line | 44 GENESEE ST
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City | NEW HARTFORD
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State | NY
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Zip | 13413
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Country | US
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Telephone | 315-732-1615
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Fax | 315-732-3604
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Provider Business Mailing Address
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Address Line | 44 GENESEE ST
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City | NEW HARTFORD
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State | NY
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Zip | 13413
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Country | US
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Telephone | 315-732-1615
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Fax | 315-732-3604
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Authorized Official
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Title or Position | PRESIDENT PHARMACIST
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Name | MR. EARL ROBERT BLACK JR.
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Credential | RPH
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Telephone | 315-737-1615
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 026090
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License Number State | NY
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