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General NPI Number Information
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NPI Number | 1497757082
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Entity Type | Organization
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Legal Business Name | ZIVE PHARMACY
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Dates
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Enumeration Date | 08/12/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 811 LYDIG AVE
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City | BRONX
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State | NY
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Zip | 10462-2105
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Country | US
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Telephone | 718-824-6060
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Fax | 718-824-1568
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Provider Business Mailing Address
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Address Line | 811 LYDIG AVE
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City | BRONX
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State | NY
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Zip | 10462-2105
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Country | US
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Telephone | 718-824-6060
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Fax | 718-824-1568
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. JOEL LAWRENCE ZIVE
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Credential | PHARMD.
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Telephone | 718-824-6060
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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 | 009833
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License Number State | NY
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