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General NPI Number Information
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NPI Number | 1609850189
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Entity Type | Organization
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Legal Business Name | NOHA PHARMACY INC.
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Dates
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Enumeration Date | 11/30/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 291 KNICKERBOCKER AVE
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City | BROOKLYN
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State | NY
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Zip | 11237-3103
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Country | US
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Telephone | 718-456-5475
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Fax | 718-501-1003
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Provider Business Mailing Address
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Address Line | 291 KNICKERBOCKER AVE
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City | BROOKLYN
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State | NY
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Zip | 11237-3103
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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 | SUPERVISOR/PHARMACIST
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Name | MR. AHMED MAHMOUD NEGM
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Credential |
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Telephone | 718-456-5475
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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 | 019736
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License Number State | NY
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