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General NPI Number Information
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NPI Number | 1376736827
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Entity Type | Organization
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Legal Business Name | WEBSTER PHARMACY INC.
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Dates
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Enumeration Date | 08/18/2007
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Last Update Date | 08/18/2007
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Provider Practice Location Address
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Address Line | 1231 WEBSTER AVE
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City | BRONX
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State | NY
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Zip | 10456-3373
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Country | US
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Telephone | 718-293-2934
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Fax | 718-293-2935
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Provider Business Mailing Address
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Address Line | 1231 WEBSTER AVE
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City | BRONX
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State | NY
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Zip | 10456-3373
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Country | US
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Telephone | 718-293-2934
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Fax | 718-293-2935
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. QAISER MAHMOOD CHAUDHARY
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Credential |
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Telephone | 347-570-6533
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 028490
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License Number State | NY
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