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General NPI Number Information
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NPI Number | 1528549292
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Entity Type | Organization
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Legal Business Name | OCEANIA CHEMIST INC
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Dates
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Enumeration Date | 08/22/2018
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 388 NEPTUNE AVE
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City | BROOKLYN
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State | NY
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Zip | 11235
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Country | US
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Telephone | 718-709-0192
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Fax |
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Provider Business Mailing Address
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Address Line | 388 NEPTUNE AVE
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City | BROOKLYN
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State | NY
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Zip | 11235
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Country | US
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Telephone | 718-709-0192
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ILYA OSTROVSKY
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Credential | PHARM.D.
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Telephone | 718-709-0192
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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 | 036684
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License Number State | NY
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