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General NPI Number Information
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NPI Number | 1578508917
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Entity Type | Organization
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Legal Business Name | DAVINO DRUGS INC
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Dates
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Enumeration Date | 06/19/2006
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Last Update Date | 10/08/2015
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Provider Practice Location Address
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Address Line | 3569 E TREMONT AVE
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City | BRONX
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State | NY
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Zip | 10465-2017
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Country | US
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Telephone | 718-823-6353
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Fax | 718-823-8114
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Provider Business Mailing Address
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Address Line | 3569 E TREMONT AVE
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City | BRONX
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State | NY
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Zip | 10465-2017
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Country | US
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Telephone | 718-823-6353
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Fax | 718-823-8114
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Authorized Official
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Title or Position | PRESIDENT,OWNER,PIC,AO
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Name | STEPHEN DAVIS
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Credential | RPH
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Telephone | 718-823-6353
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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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Taxonomy #2
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding 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 | 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 #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 025086
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License Number State | NY
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