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General NPI Number Information
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NPI Number | 1457429698
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Entity Type | Organization
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Legal Business Name | BIGELOWS PHARMACY INC
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 04/06/2017
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Provider Practice Location Address
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Address Line | 6 N MAIN ST
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City | SHERBURNE
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State | NY
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Zip | 13460-9545
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Country | US
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Telephone | 607-674-9691
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Fax | 607-674-4428
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Provider Business Mailing Address
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Address Line | 6 N MAIN ST PO BOX 487
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City | SHERBURNE
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State | NY
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Zip | 13460-9545
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Country | US
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Telephone | 607-674-9691
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Fax | 607-674-4428
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Authorized Official
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Title or Position | PIC
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Name | JOHN KWASNIK
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Credential | RPH
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Telephone | 607-674-9691
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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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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 012930
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License Number State | NY
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