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General NPI Number Information
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NPI Number | 1346662814
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Entity Type | Organization
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Legal Business Name | VITAMIN PHARMACY INC.
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Dates
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Enumeration Date | 01/17/2014
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Last Update Date | 03/28/2016
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Provider Practice Location Address
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Address Line | 150-15 NORTHERN BLVD 1ST FLOOR
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City | FLUSHING
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State | NY
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Zip | 11354
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Country | US
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Telephone | 718-888-0851
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Fax | 718-888-9154
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Provider Business Mailing Address
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Address Line | 150-15 NORTHERN BLVD 1ST FLOOR
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City | FLUSHING
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State | NY
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Zip | 11354
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Country | US
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Telephone | 718-888-0851
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Fax | 718-888-9154
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. EUNICE K PARK
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Credential |
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Telephone | 718-888-0851
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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 |
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License Number State | NY
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