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General NPI Number Information
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NPI Number | 1356135354
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Entity Type | Organization
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Legal Business Name | KLUCHIK RX CORP.
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Dates
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Enumeration Date | 04/07/2025
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 191 NEPTUNE AVE
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City | BROOKLYN
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State | NY
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Zip | 11235-6992
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Country | US
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Telephone | 718-535-1257
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Fax | 718-887-2600
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Provider Business Mailing Address
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Address Line | 191 NEPTUNE AVE
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City | BROOKLYN
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State | NY
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Zip | 11235-6992
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Country | US
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Telephone | 718-535-1257
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Fax | 718-887-2600
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Authorized Official
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Title or Position | OWNER/ SP
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Name | RITA KUCHIK
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Credential | PHARMD
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Telephone | 646-460-7075
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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 |
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