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General NPI Number Information
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NPI Number | 1609669209
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Entity Type | Organization
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Legal Business Name | FASTCARE RX INC
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Dates
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Enumeration Date | 05/27/2025
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 722 WELLWOOD AVE
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City | LINDENHURST
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State | NY
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Zip | 11757-1601
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Country | US
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Telephone | 631-830-4500
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Fax | 631-938-0593
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Provider Business Mailing Address
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Address Line | 722 WELLWOOD AVE
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City | LINDENHURST
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State | NY
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Zip | 11757-1601
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Country | US
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Telephone | 631-830-4500
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Fax | 631-938-0593
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Authorized Official
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Title or Position | OWNER
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Name | REUBEN MIZRAHI
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Credential |
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Telephone | 631-830-4500
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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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