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General NPI Number Information
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NPI Number | 1336443530
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Entity Type | Organization
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Legal Business Name | A & M PHARMACY AND SURGICAL SUPPLIES LLC
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Dates
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Enumeration Date | 01/03/2011
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Last Update Date | 07/07/2011
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Provider Practice Location Address
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Address Line | 256-17-19 HILLSIDE AVE
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City | FLORAL PARK
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State | NY
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Zip | 11004
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Country | US
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Telephone | 718-343-5900
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Fax |
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Provider Business Mailing Address
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Address Line | 256-17-19 HILLSIDE AVE
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City | FLORAL PARK
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State | NY
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Zip | 11004
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Country | US
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Telephone | 718-343-5900
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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 | DIPESH SHAH
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Credential | RPH
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Telephone | 917-902-3432
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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 | 17030412
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License Number State | NY
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