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General NPI Number Information
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NPI Number | 1578409868
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Entity Type | Organization
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Legal Business Name | MIYA RX LLC
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Dates
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Enumeration Date | 04/28/2026
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 260 BROADWAY
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City | ELMWOOD PARK
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State | NJ
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Zip | 07407-3522
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Country | US
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Telephone | 973-324-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 260 BROADWAY
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City | ELMWOOD PARK
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State | NJ
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Zip | 07407-3522
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Country | US
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Telephone | 973-324-1000
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. RUMAAN ALI
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Credential | PHARMD
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Telephone | 347-934-1192
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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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