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General NPI Number Information
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NPI Number | 1508780784
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Entity Type | Organization
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Legal Business Name | CASABLANCA PHARMACY INC
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Dates
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Enumeration Date | 08/08/2026
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Last Update Date | 08/08/2026
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Provider Practice Location Address
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Address Line | 8117 5TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11209-4102
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Country | US
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Telephone | 347-517-4921
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Fax | 347-517-4922
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Provider Business Mailing Address
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Address Line | 8117 5TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11209-4102
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Country | US
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Telephone | 347-517-4921
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Fax | 347-517-4922
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Authorized Official
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Title or Position | OWNER
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Name | MR. KHALID BOUZIRI
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Credential | PHARM-D
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Telephone | 347-517-4921
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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 | NULL
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