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General NPI Number Information
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NPI Number | 1457931271
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Entity Type | Organization
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Legal Business Name | NOSTRAND HEALTH PHARMACY INC
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Dates
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Enumeration Date | 04/14/2021
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Last Update Date | 11/21/2022
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Provider Practice Location Address
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Address Line | 3901 NOSTRAND AVE
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City | BROOKLYN
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State | NY
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Zip | 11235-2106
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Country | US
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Telephone | 718-559-0887
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Fax | 718-559-0910
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Provider Business Mailing Address
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Address Line | 3901 NOSTRAND AVE
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City | BROOKLYN
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State | NY
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Zip | 11235-2106
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Country | US
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Telephone | 718-559-0887
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Fax | 718-559-0910
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Authorized Official
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Title or Position | SUPERVISING RPH
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Name | DR. NINEL MOGILEVICH
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Credential | PHARM D
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Telephone | 718-559-0887
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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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