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General NPI Number Information
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NPI Number | 1396753398
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Entity Type | Organization
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Legal Business Name | HOERNING PHARMACY INC
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 03/09/2014
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Provider Practice Location Address
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Address Line | 34 HOPE PLZ
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City | WEST COXSACKIE
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State | NY
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Zip | 12192-1225
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Country | US
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Telephone | 518-731-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 34 HOPE PLAZA
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City | WEST COXACKIE
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State | NY
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Zip | 12192
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Country | US
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Telephone | 518-731-2400
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. EUGENE C HOERNING
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Credential | RPH
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Telephone | 518-731-2400
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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 | 013820
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License Number State | NY
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