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General NPI Number Information
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NPI Number | 1326293002
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Entity Type | Organization
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Legal Business Name | FOREVER HEALTH PHARMACY INC.
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Dates
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Enumeration Date | 11/24/2008
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Last Update Date | 06/26/2009
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Provider Practice Location Address
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Address Line | 2 E BROADWAY
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City | NEW YORK
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State | NY
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Zip | 10038-1073
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Country | US
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Telephone | 212-966-7887
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Fax | 212-966-9588
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Provider Business Mailing Address
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Address Line | 2 E BROADWAY
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City | NEW YORK
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State | NY
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Zip | 10038-1073
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Country | US
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Telephone | 212-966-7887
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Fax | 212-966-9588
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Authorized Official
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Title or Position | SUPERVISING PHARMACIST
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Name | LAURA G CHEN
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Credential | PHARMACIST
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Telephone | 212-966-7887
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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 | 029191
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License Number State | NY
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