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General NPI Number Information
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NPI Number | 1477858041
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Entity Type | Organization
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Legal Business Name | AL-HAQQ PHARMACY INC
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Dates
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Enumeration Date | 01/12/2011
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Last Update Date | 02/21/2014
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Provider Practice Location Address
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Address Line | 7507 101ST AVE
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City | OZONE PARK
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State | NY
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Zip | 11416-1028
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Country | US
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Telephone | 718-738-3333
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Fax | 718-738-3334
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Provider Business Mailing Address
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Address Line | 7507 101ST AVE
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City | OZONE PARK
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State | NY
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Zip | 11416-1028
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Country | US
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Telephone | 718-738-3333
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Fax | 718-738-3334
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Authorized Official
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Title or Position | SUPERVISING PHARMACIST
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Name | MOHAMMED HAQUE
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Credential |
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Telephone | 516-444-9869
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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 | 030588
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License Number State | NY
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