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General NPI Number Information
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NPI Number | 1568129641
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Entity Type | Organization
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Legal Business Name | FILL MEDS RX INC.
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Dates
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Enumeration Date | 11/23/2021
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Last Update Date | 03/08/2023
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Provider Practice Location Address
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Address Line | 1626 NEW YORK AVE
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City | HUNTINGTON STATION
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State | NY
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Zip | 11746-2418
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Country | US
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Telephone | 631-424-3903
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Fax | 631-424-3904
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Provider Business Mailing Address
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Address Line | 1626 NEW YORK AVE
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City | HUNTINGTON STATION
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State | NY
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Zip | 11746-2418
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Country | US
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Telephone | 631-424-3903
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Fax | 631-424-3904
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. SEMEN MURATOV
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Credential |
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Telephone | 631-424-3903
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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 |
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License Number State |
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