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General NPI Number Information
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NPI Number | 1558752840
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Entity Type | Organization
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Legal Business Name | SHERMAN PHARMACY 2 INC.
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Dates
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Enumeration Date | 02/09/2015
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Last Update Date | 07/07/2022
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Provider Practice Location Address
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Address Line | 5810 MYRTLE AVENUE
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City | RIDGEWOOD
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State | NY
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Zip | 11385-5021
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Country | US
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Telephone | 718-628-8190
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Fax | 718-628-8191
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Provider Business Mailing Address
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Address Line | 5810 MYRTLE AVENUE
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City | RIDGEWOOD
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State | NY
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Zip | 11385-5021
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Country | US
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Telephone | 718-628-8190
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Fax | 718-628-8191
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Authorized Official
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Title or Position | PRESIDENT/SUPERVISING PHARMACIST
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Name | MR. IMRAN S. KAZMI
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Credential | RPH
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Telephone | 917-449-0086
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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 | 034804
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License Number State | NY
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