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General NPI Number Information
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NPI Number | 1558580423
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Entity Type | Organization
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Legal Business Name | TIMMERMANN APOTHECARIES,INC
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 12/07/2011
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Provider Practice Location Address
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Address Line | 799 LEXINGTON AVE
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City | NEW YORK
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State | NY
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Zip | 10065-8158
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Country | US
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Telephone | 212-838-6450
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Fax | 212-753-3839
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Provider Business Mailing Address
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Address Line | 799 LEXINGTON AVE
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City | NEW YORK
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State | NY
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Zip | 10065-8158
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Country | US
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Telephone | 212-838-6450
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Fax | 212-753-3839
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Authorized Official
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Title or Position | PHARMACIST
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Name | MR. MARTIN J KEANE
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Credential | R.PH.
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Telephone | 212-838-6450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 33379
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License Number State | NY
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