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General NPI Number Information
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NPI Number | 1588488860
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Entity Type | Organization
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Legal Business Name | EAST HARLEM APOTHECARY INC
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Dates
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Enumeration Date | 11/13/2024
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 300 E 102ND ST
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City | NEW YORK
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State | NY
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Zip | 10029-5601
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Country | US
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Telephone | 212-831-1222
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Fax | 212-831-1616
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Provider Business Mailing Address
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Address Line | 300 E 102ND ST
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City | NEW YORK
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State | NY
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Zip | 10029-5601
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Country | US
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Telephone | 212-831-1222
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Fax | 212-831-1616
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Authorized Official
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Title or Position | PHARMACIST/OWNER
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Name | ALI MOHAMMED
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Credential | PHARMD
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Telephone | 212-831-1222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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