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General NPI Number Information
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NPI Number | 1366927451
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Entity Type | Organization
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Legal Business Name | SHRI GURUDUTTA DRUGS INC
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Dates
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Enumeration Date | 09/25/2018
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Last Update Date | 09/25/2018
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Provider Practice Location Address
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Address Line | 3750A 3RD AVE
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City | BRONX
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State | NY
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Zip | 10456-2102
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Country | US
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Telephone | 718-293-8810
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Fax |
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Provider Business Mailing Address
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Address Line | 3750A 3RD AVE
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City | BRONX
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State | NY
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Zip | 10456-2102
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Country | US
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Telephone | 718-293-8810
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/PHARMACIST
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Name | VISWESWARA S KADIYAM
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Credential | R.PH
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Telephone | 718-293-8810
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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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