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General NPI Number Information
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NPI Number | 1437967684
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Entity Type | Organization
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Legal Business Name | ANCHOR COVE APOTHECARY LLC
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Dates
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Enumeration Date | 12/19/2024
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 62 LIDO BLVD
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City | POINT LOOKOUT
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State | NY
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Zip | 11569-3021
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Country | US
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Telephone | 516-889-3444
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Fax |
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Provider Business Mailing Address
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Address Line | 62 LIDO BLVD
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City | POINT LOOKOUT
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State | NY
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Zip | 11569-3021
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Country | US
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Telephone | 516-889-3444
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATHLEEN GERMAINE DE FRANCO
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Credential | RPH
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Telephone | 516-889-3444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number |
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License Number State |
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