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General NPI Number Information
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NPI Number | 1528161072
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Entity Type | Organization
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Legal Business Name | EMPIRE PHARMACY & SURGICAL SUPPLY INC.
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 50-17 QUEENS BLVD
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City | WOODSIDE
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State | NY
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Zip | 11377-4452
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Country | US
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Telephone | 718-205-1275
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Fax |
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Provider Business Mailing Address
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Address Line | 50-17 QUEENS BLVD
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City | WOODSIDE
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State | NY
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Zip | 11377-4452
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/SUPERVISING PHARMACIST
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Name | MARK CHRISTOPHER MARTELL
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Credential |
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Telephone | 718-205-1275
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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 | 022856
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0986785
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License Number State | NY
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