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General NPI Number Information
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NPI Number | 1598106551
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Entity Type | Organization
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Legal Business Name | HERITAGE PHARMACY & SURGICAL SUPPLIES,CORP
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Dates
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Enumeration Date | 07/07/2013
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 2258 ADAM CLAYTON POWELL JR BLVD
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City | NEW YORK
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State | NY
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Zip | 10027-7808
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Country | US
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Telephone | 212-694-8050
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Fax | 212-694-8095
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Provider Business Mailing Address
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Address Line | 2258 ADAM CLAYTON POWELL JR BLVD
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City | NEW YORK
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State | NY
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Zip | 10027-7808
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Country | US
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Telephone | 212-694-8050
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Fax | 212-694-8095
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Authorized Official
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Title or Position | PRESIDENT/PHARMACIST
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Name | MR. BENJAMIN C ONWUDIWE
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Credential | B.SC,M.SC
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Telephone | 201-952-3764
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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 | 032074
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License Number State | NY
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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 | 032074
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License Number State | NY
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