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General NPI Number Information
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NPI Number | 1457348005
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Entity Type | Organization
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Legal Business Name | ROCKAWAY DRUGS INC.
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Dates
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Enumeration Date | 09/29/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 194 BEACH 116TH ST
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City | ROCKAWAY PARK
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State | NY
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Zip | 11694-2417
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Country | US
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Telephone | 718-318-0300
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Fax | 718-318-3378
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Provider Business Mailing Address
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Address Line | 194 BEACH 116TH ST
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City | ROCKAWAY PARK
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State | NY
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Zip | 11694-2417
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Country | US
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Telephone | 718-318-0300
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Fax | 718-318-3378
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Authorized Official
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Title or Position | OWNER
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Name | MR. STUART RABINOWITZ
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Credential | RPH
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Telephone | 718-318-0300
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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 | 025058
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License Number State | NY
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