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General NPI Number Information
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NPI Number | 1528076635
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Entity Type | Organization
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Legal Business Name | METRO-NORTH PHARMACY INC.
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1972 1ST AVE
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City | NEW YORK
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State | NY
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Zip | 10029-6430
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Country | US
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Telephone | 914-747-6845
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Fax | 212-427-1190
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Provider Business Mailing Address
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Address Line | 16 FLAG HILL RD
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City | CHAPPAQUA
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State | NY
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Zip | 10514-3032
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Country | US
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Telephone | 914-747-6845
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Fax | 212-427-1190
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Authorized Official
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Title or Position | PRES.
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Name | SHAHIDA NASREEN QADIR
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Credential | BS
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Telephone | 212-427-1718
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 024291
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 024291
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License Number State | NY
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