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NPI 1477071850

NPI 1477071850 : ATRIUM CHEMIST INC : HUNTINGTON, NY

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General NPI Number Information
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    NPI Number           |    1477071850
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    Entity Type          |    Organization 
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    Legal Business Name  |    ATRIUM CHEMIST INC 
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Dates
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    Enumeration Date     |    09/06/2017
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    Last Update Date     |    04/19/2018
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Provider Practice Location Address
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    Address Line         |    775 PARK AVE 
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    City                 |    HUNTINGTON
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    State                |    NY
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    Zip                  |    11743-3976
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    Country              |    US
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    Telephone            |    631-784-7777
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    Fax                  |    631-980-7700
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Provider Business Mailing Address
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    Address Line         |    775 PARK AVE 
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    City                 |    HUNTINGTON
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    State                |    NY
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    Zip                  |    11743-3976
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    Country              |    US
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    Telephone            |    631-784-7777
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    Fax                  |    631-980-7700
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Authorized Official
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    Title or Position    |    PRESIDENT/AO
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    Name                 |     YING  CHEUNG CHING 
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    Credential           |    
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    Telephone            |    631-784-7777
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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       |    035798
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    License Number State |    NY
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