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General NPI Number Information
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NPI Number | 1396608980
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Entity Type | Organization
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Legal Business Name | CENTEREACH RX INC.
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 1759 MIDDLE COUNTRY RD
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City | CENTEREACH
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State | NY
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Zip | 11720-3505
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Country | US
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Telephone | 631-444-1617
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Fax | 631-400-5058
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Provider Business Mailing Address
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Address Line | 1759 MIDDLE COUNTRY RD
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City | CENTEREACH
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State | NY
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Zip | 11720-3505
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Country | US
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Telephone | 631-444-1617
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Fax | 631-400-5085
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Authorized Official
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Title or Position | PRESDIENT
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Name | MATTHEW PERSAUD
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Credential | N/A
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Telephone | 347-846-3173
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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 |
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License Number State |
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