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General NPI Number Information
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NPI Number | 1457446502
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Entity Type | Organization
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Legal Business Name | JD CHEMIST
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 945 ROSEDALE RD
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City | VALLEY STREAM
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State | NY
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Zip | 11581
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Country | US
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Telephone | 561-791-6500
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Fax | 516-791-6501
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Provider Business Mailing Address
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Address Line | 945 ROSEDALE RD
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City | VALLEY STREAM
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State | NY
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Zip | 11581
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Country | US
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Telephone | 561-791-6500
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Fax | 516-791-6501
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Authorized Official
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Title or Position | SUPERVISOR/ OWNER
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Name | MRS. DONNA MAGLI
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Credential | R PH
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Telephone | 561-791-6500
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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 | 019738
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License Number State | NY
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