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NPI 1366506867

NPI 1366506867 : 7TH AVENUE CHEMIST INC : BROOKLYN, NY

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General NPI Number Information
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    NPI Number           |    1366506867
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    Entity Type          |    Organization 
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    Legal Business Name  |    7TH AVENUE CHEMIST INC 
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Dates
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    Enumeration Date     |    12/20/2006
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    Last Update Date     |    12/08/2020
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Provider Practice Location Address
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    Address Line         |    679 60TH ST UNIT B 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11220-4108
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    Country              |    US
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    Telephone            |    718-439-0998
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    679 60TH ST UNIT B 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11220-4108
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    Country              |    US
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    Telephone            |    718-439-0998
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     HOK DOON JOHN  AU 
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    Credential           |    
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    Telephone            |    212-965-9688
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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       |    028134
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    License Number State |    NY
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