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General NPI Number Information
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NPI Number | 1598813594
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Entity Type | Organization
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Legal Business Name | SYLJAN DRUG CORP
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 270 DUFFY AVE
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City | HICKSVILLE
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State | NY
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Zip | 11801-3646
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Country | US
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Telephone | 516-931-7690
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Fax | 516-932-1043
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Provider Business Mailing Address
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Address Line | 270 DUFFY AVE
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City | HICKSVILLE
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State | NY
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Zip | 11801-3646
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT PHCST
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Name | ALBERT WOLK
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Credential |
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Telephone | 631-424-0492
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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 | 011216
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License Number State | NY
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Taxonomy #2
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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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