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General NPI Number Information
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NPI Number | 1457562423
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Entity Type | Organization
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Legal Business Name | PARK PLACE CHEMISTS, INC
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 08/05/2022
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Provider Practice Location Address
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Address Line | 200 PANTIGO PL STE K
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City | EAST HAMPTON
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State | NY
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Zip | 11937-5923
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Country | US
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Telephone | 631-324-6660
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Fax | 631-324-3515
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Provider Business Mailing Address
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Address Line | 200 PANTIGO PL STE K
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City | EAST HAMPTON
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State | NY
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Zip | 11937-5923
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Country | US
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Telephone | 631-324-6660
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Fax | 631-324-3515
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Authorized Official
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Title or Position | SUPERVISING PHARMACIST
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Name | JENNIFER MILLER
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Credential | PHARM D
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Telephone | 631-324-6660
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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 |
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License Number State |
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