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General NPI Number Information
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NPI Number | 1568403996
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Entity Type | Organization
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Legal Business Name | MEMORIAL SLOAN KETTERING CANCER CENTER
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Dates
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Enumeration Date | 06/09/2006
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 1275 YORK AVE RM C164
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City | NEW YORK
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State | NY
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Zip | 10065-6007
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Country | US
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Telephone | 646-888-0730
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Fax |
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Provider Business Mailing Address
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Address Line | 1275 YORK AVE RM H-313
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City | NEW YORK
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State | NY
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Zip | 10065-6007
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | SUSAN MURILLO
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Credential | RPH
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Telephone | 212-639-2206
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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 | 003945
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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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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