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General NPI Number Information
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NPI Number | 1487721163
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Entity Type | Organization
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Legal Business Name | HEALTHWISE PHARMACY II INC.
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 01/23/2019
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Provider Practice Location Address
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Address Line | 1494 YORK AVE
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City | NEW YORK
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State | NY
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Zip | 10021-8816
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Country | US
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Telephone | 212-472-5600
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Fax |
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Provider Business Mailing Address
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Address Line | 1494 YORK AVE
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City | NEW YORK
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State | NY
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Zip | 10021-8816
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Country | US
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Telephone | 212-472-5600
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHIVANI D DESAI
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Credential |
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Telephone | 212-472-5600
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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 | 021341
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License Number State | NY
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