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General NPI Number Information
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NPI Number | 1346432473
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Entity Type | Organization
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Legal Business Name | ELIYAHUS PHARMACY INC.
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Dates
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Enumeration Date | 08/13/2007
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Last Update Date | 05/06/2013
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Provider Practice Location Address
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Address Line | 573 KINGS HWY
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City | BROOKLYN
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State | NY
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Zip | 11223-2003
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Country | US
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Telephone | 718-627-0485
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Fax |
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Provider Business Mailing Address
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Address Line | 573 KINGS HWY
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City | BROOKLYN
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State | NY
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Zip | 11223-2003
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Country | US
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Telephone | 718-627-0485
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Fax | 718-627-2757
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Authorized Official
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Title or Position | R PH
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Name | ILIAS MLABASATI
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Credential |
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Telephone | 718-627-0485
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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 | 024117
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License Number State | NY
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Taxonomy #2
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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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