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General NPI Number Information
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NPI Number | 1538594221
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Entity Type | Organization
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Legal Business Name | FALCONER PHARMACY, INC
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Dates
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Enumeration Date | 09/12/2013
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Last Update Date | 05/10/2014
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Provider Practice Location Address
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Address Line | 202 W MAIN ST
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City | FALCONER
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State | NY
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Zip | 14733-1616
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Country | US
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Telephone | 716-665-1188
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Fax | 716-665-1427
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Provider Business Mailing Address
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Address Line | 202 W MAIN ST
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City | FALCONER
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State | NY
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Zip | 14733-1616
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Country | US
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Telephone | 716-665-1188
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Fax | 716-665-1427
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Authorized Official
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Title or Position | RPH/VICE PRESIDENT
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Name | MR. SALIM SARVAIYA
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Credential | RPH
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Telephone | 716-665-1188
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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 | 032211
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 032211
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License Number State | NY
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