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General NPI Number Information
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NPI Number | 1386626190
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Entity Type | Organization
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Legal Business Name | THE NEW PHARMACY INC
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Dates
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Enumeration Date | 11/17/2005
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Last Update Date | 02/07/2008
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Provider Practice Location Address
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Address Line | 530 E 170TH ST BRONX
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City | BRONX
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State | NY
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Zip | 10456-2302
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Country | US
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Telephone | 718-992-8299
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Fax | 718-293-0009
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Provider Business Mailing Address
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Address Line | 530 E 170TH ST BRONX
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City | BRONX
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State | NY
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Zip | 10456-2302
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Country | US
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Telephone | 718-992-8299
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Fax | 718-293-0009
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Authorized Official
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Title or Position | SUPERVISING PHARMACIST
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Name | MR. SHAILESH R PATEL
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Credential | RPH MS
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Telephone | 718-992-8299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 019212
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License Number State | NY
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