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General NPI Number Information
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NPI Number | 1528355195
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Entity Type | Organization
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Legal Business Name | EUROPEAN APOTHECARY INC
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Dates
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Enumeration Date | 07/05/2011
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Last Update Date | 10/22/2014
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Provider Practice Location Address
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Address Line | 6619 FRESH POND RD
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City | RIDGEWOOD
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State | NY
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Zip | 11385-3310
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Country | US
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Telephone | 718-416-3200
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Fax | 718-416-3204
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Provider Business Mailing Address
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Address Line | 6619 FRESH POND RD
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City | RIDGEWOOD
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State | NY
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Zip | 11385-3310
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Country | US
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Telephone | 718-416-3200
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Fax | 718-416-3204
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Authorized Official
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Title or Position | PRESIDENT
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Name | LILIAN WIECKOWSKI
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Credential |
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Telephone | 718-383-7822
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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 | 030711
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License Number State | NY
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