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General NPI Number Information
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NPI Number | 1538044201
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Entity Type | Organization
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Legal Business Name | DRUG MART II RX LLC
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | DRUG MART II PHARMACY, 4873 BROADWAY
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City | NEW YORK
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State | NY
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Zip | 10034-3134
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Country | US
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Telephone | 212-569-4400
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Fax | 212-569-5400
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Provider Business Mailing Address
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Address Line | DRUG MART II PHARMACY, 4873 BROADWAY
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City | NEW YORK
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State | NY
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Zip | 10034-3134
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Country | US
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Telephone | 212-569-4400
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Fax | 212-569-5400
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Authorized Official
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Title or Position | PRESIDENT
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Name | HET GAUTAMKUMAR PATEL
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Credential |
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Telephone | 212-569-4400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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