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General NPI Number Information
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NPI Number | 1528041175
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Entity Type | Organization
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Legal Business Name | PALM-GATE PHARMACY
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Dates
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Enumeration Date | 11/28/2005
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Last Update Date | 04/29/2008
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Provider Practice Location Address
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Address Line | 583 KNICKERBOCKER AVE
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City | BROOKLYN
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State | NY
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Zip | 11221-4742
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Country | US
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Telephone | 718-381-6084
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Fax | 718-418-2263
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Provider Business Mailing Address
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Address Line | 583 KNICKERBOCKER AVE
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City | BROOKLYN
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State | NY
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Zip | 11221-4742
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Country | US
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Telephone | 718-381-6084
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Fax | 718-418-2263
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Authorized Official
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Title or Position | SUR REGISTERED PHARMACIST SUPERVISI
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Name | MS. PATRICIA R JOHNSON
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Credential | RPH SP
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Telephone | 718-381-6084
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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 | 014376
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License Number State | NY
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