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NPI 1568501419

NPI 1568501419 : VALUE DRUG STORES INC : HUNTINGTON, NY

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General NPI Number Information
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    NPI Number           |    1568501419
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    Entity Type          |    Organization 
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    Legal Business Name  |    VALUE DRUG STORES INC 
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Dates
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    Enumeration Date     |    02/06/2007
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    Last Update Date     |    11/06/2025
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Provider Practice Location Address
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    Address Line         |    391 W MAIN ST 
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    City                 |    HUNTINGTON
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    State                |    NY
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    Zip                  |    11743-3203
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    Country              |    US
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    Telephone            |    631-427-2919
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    Fax                  |    631-505-5506
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Provider Business Mailing Address
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    Address Line         |    391 W MAIN ST 
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    City                 |    HUNTINGTON
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    State                |    NY
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    Zip                  |    11743-3203
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    Country              |    US
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    Telephone            |    631-427-2919
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    Fax                  |    631-505-5506
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Authorized Official
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    Title or Position    |    SUPERVISING PHARMACIST
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    Name                 |     THOMAS S ELL 
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    Credential           |    
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    Telephone            |    631-427-2919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    024560
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    License Number State |    NY
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