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General NPI Number Information
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NPI Number | 1407955297
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Entity Type | Organization
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Legal Business Name | BROWNSVILLE PHARMACY INC.
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 4 SUTTER AVE
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City | BROOKLYN
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State | NY
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Zip | 11212-3838
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Country | US
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Telephone | 718-778-3900
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Fax | 718-778-3379
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Provider Business Mailing Address
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Address Line | 4 SUTTER AVE
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City | BROOKLYN
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State | NY
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Zip | 11212-3838
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Country | US
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Telephone | 718-778-3900
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Fax | 718-778-3379
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. SHAHAB AHMED SIDDIQUI
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Credential | BS
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Telephone | 718-778-3900
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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 | 023618
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License Number State | NY
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