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General NPI Number Information
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NPI Number | 1457780868
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Entity Type | Organization
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Legal Business Name | ARCADIA HEALTH PHARMACY CORP.
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Dates
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Enumeration Date | 11/06/2013
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Last Update Date | 11/06/2013
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Provider Practice Location Address
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Address Line | 4235 MAIN ST UNIT 1L
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City | FLUSHING
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State | NY
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Zip | 11355-4721
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Country | US
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Telephone | 718-878-6999
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Fax | 718-939-8838
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Provider Business Mailing Address
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Address Line | PO BOX 520922
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City | FLUSHING
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State | NY
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Zip | 11352-0922
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Country | US
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Telephone | 718-878-6999
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Fax | 718-939-8838
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Authorized Official
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Title or Position | SECRETARY
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Name | JIA HE
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Credential |
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Telephone | 917-886-8263
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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 | 032315
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License Number State | NY
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