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General NPI Number Information
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NPI Number | 1386969004
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Entity Type | Organization
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Legal Business Name | SS PHARMA INC.
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Dates
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Enumeration Date | 04/06/2010
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Last Update Date | 09/14/2023
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Provider Practice Location Address
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Address Line | 21 E 170TH ST
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City | BRONX
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State | NY
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Zip | 10452-7016
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Country | US
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Telephone | 718-293-9596
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Fax | 718-293-9599
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Provider Business Mailing Address
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Address Line | 21 E 170TH ST
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City | BRONX
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State | NY
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Zip | 10452-7016
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Country | US
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Telephone | 718-293-9596
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Fax | 718-293-9599
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | STALIN KRISHNAN
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Credential |
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Telephone | 718-293-9596
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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 | 029976
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License Number State | NY
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