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General NPI Number Information
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NPI Number | 1437758141
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Entity Type | Organization
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Legal Business Name | NORTH SHORE CHEMISTS LLC
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Dates
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Enumeration Date | 10/22/2020
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Last Update Date | 10/22/2020
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Provider Practice Location Address
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Address Line | 800 NORTHERN BLVD STE 4
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City | GREAT NECK
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State | NY
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Zip | 11021-5314
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Country | US
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Telephone | 516-460-8343
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Fax | 516-460-8353
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Provider Business Mailing Address
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Address Line | 800 NORTHERN BLVD STE 4
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City | GREAT NECK
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State | NY
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Zip | 11021-5314
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Country | US
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Telephone | 516-460-8343
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Fax | 516-460-8353
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Authorized Official
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Title or Position | SUPERVISING PHARMACIST/DIRECTOR OF
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Name | KATHY ELASHVILI
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Credential | RPH, MS
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Telephone | 917-328-9187
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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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