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General NPI Number Information
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NPI Number | 1467550319
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Entity Type | Organization
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Legal Business Name | KINGS HWY PHARMACY AND MEDICAL SUPPLY INC
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 03/08/2018
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Provider Practice Location Address
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Address Line | 1416 KINGS HWY
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City | BROOKLYN
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State | NY
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Zip | 11229-2004
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Country | US
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Telephone | 718-375-5757
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Fax |
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Provider Business Mailing Address
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Address Line | 1671 E 13TH ST
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City | BROOKLYN
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State | NY
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Zip | 11229-1101
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Country | US
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Telephone | 718-375-5757
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Fax | 718-375-0364
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Authorized Official
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Title or Position | RPH
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Name | IGOR SHOYKHET
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Credential | RPH
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Telephone | 718-375-5757
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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 | 027329
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License Number State | NY
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