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General NPI Number Information
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NPI Number | 1326713488
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Entity Type | Organization
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Legal Business Name | EMNICO RX INC
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Dates
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Enumeration Date | 08/11/2021
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Last Update Date | 10/07/2021
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Provider Practice Location Address
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Address Line | 1440 FOREST AVE STORE 5
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City | STATEN ISLAND
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State | NY
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Zip | 10302-2235
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Country | US
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Telephone | 631-380-3800
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Fax | 631-380-3688
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Provider Business Mailing Address
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Address Line | 1440 FOREST AVE STORE 5
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City | STATEN ISLAND
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State | NY
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Zip | 10302-2235
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Country | US
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Telephone | 631-380-3800
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Fax | 631-380-3688
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Authorized Official
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Title or Position | PHARMACIST
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Name | DR. DON LEE
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Credential | PHARMD
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Telephone | 929-500-6836
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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 | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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