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General NPI Number Information
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NPI Number | 1316966591
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Entity Type | Organization
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Legal Business Name | HEALTHY PHARMACY INC
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 04/19/2023
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Provider Practice Location Address
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Address Line | 108 BOWERY
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City | NEW YORK
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State | NY
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Zip | 10013-4788
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Country | US
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Telephone | 212-966-8682
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Fax |
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Provider Business Mailing Address
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Address Line | 108 BOWERY
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City | NEW YORK
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State | NY
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Zip | 10013-4788
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Country | US
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Telephone | 212-966-8682
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Fax |
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Authorized Official
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Title or Position | CORP. OFFICER
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Name | MR. TRISTAN LIU
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Credential |
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Telephone | 212-966-8682
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 026567
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License Number State | NY
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