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General NPI Number Information
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NPI Number | 1598475634
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Entity Type | Organization
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Legal Business Name | PHARMACY FOR THE PUBLIC GOOD, INC.
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Dates
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Enumeration Date | 11/30/2022
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 53 MAIN STREET
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City | PHOENICIA
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State | NY
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Zip | 12464-1246
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Country | US
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Telephone | 845-688-0188
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Fax | 845-688-3378
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Provider Business Mailing Address
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Address Line | PO BOX 211
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City | PHOENICIA
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State | NY
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Zip | 12464-0211
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Country | US
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Telephone | 845-688-0188
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Fax | 845-688-3378
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Authorized Official
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Title or Position | PHARMACIST / MANAGER / OWNER
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Name | EDWARD A ULLMANN
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Credential | R.PH
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Telephone | 845-688-0188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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