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General NPI Number Information
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NPI Number | 1346521762
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Entity Type | Organization
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Legal Business Name | MRN DRUGS INC
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Dates
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Enumeration Date | 08/30/2011
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 1262 BOSTON ROAD
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City | BRONX
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State | NY
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Zip | 10456
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Country | US
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Telephone | 347-699-6006
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Fax | 347-590-5487
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Provider Business Mailing Address
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Address Line | 1262 BOSTON ROAD
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City | BRONX
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State | NY
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Zip | 10456
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Country | US
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Telephone | 347-699-6006
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Fax | 347-590-5487
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Authorized Official
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Title or Position | V.PRES.
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Name | MR. PANAMKADAVETH RAJARAM
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Credential | R.PH
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Telephone | 347-699-6006
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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 | 030841
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License Number State | NY
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