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General NPI Number Information
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NPI Number | 1366048837
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Entity Type | Organization
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Legal Business Name | SKYCARE RX PHARMACY, INC.
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Dates
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Enumeration Date | 12/09/2020
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Last Update Date | 12/09/2020
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Provider Practice Location Address
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Address Line | 221 BROAD ST
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City | STATEN ISLAND
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State | NY
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Zip | 10304-2057
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Country | US
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Telephone | 718-682-1311
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Fax | 718-682-7533
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Provider Business Mailing Address
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Address Line | 221 BROAD ST
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City | STATEN ISLAND
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State | NY
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Zip | 10304-2057
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Country | US
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Telephone | 718-682-1533
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Fax | 718-382-1533
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Authorized Official
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Title or Position | OWNER
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Name | RAMY MOHAMED ELFEKY
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Credential |
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Telephone | 646-764-0224
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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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