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General NPI Number Information
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NPI Number | 1346384781
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Entity Type | Organization
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Legal Business Name | SCHOHARIE VALLEY PHARMACY INC
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Dates
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Enumeration Date | 02/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4448 STATE ROUTE 30
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City | MIDDLEBURGH
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State | NY
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Zip | 12122-5706
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Country | US
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Telephone | 518-827-4488
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Fax | 518-827-4477
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Provider Business Mailing Address
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Address Line | 4448 STATE ROUTE 30
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City | MIDDLEBURGH
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State | NY
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Zip | 12122-5706
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Country | US
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Telephone | 518-827-4488
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Fax | 518-827-4477
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. SCOTT W VANKUREN
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Credential | RPH
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Telephone | 518-827-4488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 020456
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License Number State | NY
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