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NPI 1356520662

NPI 1356520662 : PATIENTS PHARMACY INC : JAMESTOWN, NY

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General NPI Number Information
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    NPI Number           |    1356520662
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    Entity Type          |    Organization 
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    Legal Business Name  |    PATIENTS PHARMACY INC 
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Dates
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    Enumeration Date     |    11/02/2007
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    Last Update Date     |    03/12/2024
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Provider Practice Location Address
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    Address Line         |    707 FAIRMOUNT AVE STE 6 
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    City                 |    JAMESTOWN
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    State                |    NY
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    Zip                  |    14701-2623
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    Country              |    US
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    Telephone            |    716-483-6913
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    Fax                  |    716-483-2554
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Provider Business Mailing Address
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    Address Line         |    PO BOX 170 
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    City                 |    JAMESTOWN
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    State                |    NY
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    Zip                  |    14702-0170
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    Country              |    US
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    Telephone            |    716-483-6913
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    Fax                  |    716-483-2554
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     DIANE  MATHEWS 
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    Credential           |    
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    Telephone            |    716-483-6913
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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    Taxonomy Code        |    333600000X
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    Taxonomy Name        |    Pharmacy
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    3336L0003X
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    Taxonomy Name        |    Long Term Care Pharmacy
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    License Number       |    028570
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    License Number State |    NY
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