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General NPI Number Information
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NPI Number | 1568324366
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Entity Type | Organization
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Legal Business Name | TRUEGREEN RX INC
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 19906 32ND AVE
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City | FLUSHING
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State | NY
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Zip | 11358-1248
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Country | US
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Telephone | 347-745-0929
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Fax | 347-706-4475
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Provider Business Mailing Address
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Address Line | 19906 32ND AVE
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City | FLUSHING
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State | NY
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Zip | 11358-1248
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Country | US
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Telephone | 347-745-0929
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Fax | 347-706-4475
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Authorized Official
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Title or Position | PRESIDENT
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Name | DANIEL YUSHANAYEV
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Credential |
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Telephone | 347-745-0929
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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 |
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License Number State |
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