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General NPI Number Information
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NPI Number | 1457408395
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Entity Type | Organization
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Legal Business Name | FINE CARE PHARMACY INC
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 08/06/2010
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Provider Practice Location Address
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Address Line | 981 FULTON ST
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City | BROOKLYN
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State | NY
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Zip | 11238-2346
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Country | US
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Telephone | 718-857-3499
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Fax | 718-857-3498
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Provider Business Mailing Address
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Address Line | 981 FULTON ST
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City | BROOKLYN
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State | NY
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Zip | 11238-2346
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Country | US
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Telephone | 718-857-3499
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Fax | 718-857-3498
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Authorized Official
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Title or Position | PRESIDENT SP PHARMACIST
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Name | MR. USAMA S EDRIS
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Credential | PHARMACIST
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Telephone | 718-857-3499
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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 | 026629
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License Number State | NY
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