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General NPI Number Information
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NPI Number | 1508401407
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Entity Type | Organization
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Legal Business Name | NYDN PHARMACY INC
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Dates
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Enumeration Date | 11/14/2019
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Last Update Date | 11/14/2019
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Provider Practice Location Address
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Address Line | 16407 NORTHERN BLVD
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City | FLUSHING
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State | NY
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Zip | 11358-2646
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Country | US
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Telephone | 347-438-1705
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Fax | 347-438-1740
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Provider Business Mailing Address
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Address Line | 16407 NORTHERN BLVD
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City | FLUSHING
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State | NY
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Zip | 11358-2646
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Country | US
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Telephone | 347-438-1705
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Fax | 347-438-1740
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. OREANTHE LYMBERATOS
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Credential |
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Telephone | 646-476-1881
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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 |
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License Number State |
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