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General NPI Number Information
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NPI Number | 1518677442
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Entity Type | Organization
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Legal Business Name | 95TH ST PHARMA CORP.
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Dates
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Enumeration Date | 12/01/2022
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Last Update Date | 05/26/2023
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Provider Practice Location Address
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Address Line | 9502 3RD AVE
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City | BROOKLYN
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State | NY
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Zip | 11209-6813
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Country | US
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Telephone | 347-541-7742
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Fax |
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Provider Business Mailing Address
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Address Line | 9502 3RD AVE
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City | BROOKLYN
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State | NY
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Zip | 11209-6813
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Country | US
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Telephone | 347-541-7742
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | LINDA BARAKAT
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Credential | PHARMD
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Telephone | 347-541-7742
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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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