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General NPI Number Information
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NPI Number | 1619329158
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Entity Type | Organization
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Legal Business Name | DISCOUNT PHARMACTY LLC
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Dates
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Enumeration Date | 07/08/2016
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Last Update Date | 07/08/2016
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Provider Practice Location Address
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Address Line | 429 WILLIAM ST
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City | BUFFALO
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State | NY
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Zip | 14204-1819
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Country | US
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Telephone | 716-465-5459
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Fax |
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Provider Business Mailing Address
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Address Line | 429A WILLIAM STREET
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City | BUFFALO
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State | NY
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Zip | 14204
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Country | US
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Telephone | 716-465-5459
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Fax |
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Authorized Official
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Title or Position | SUPERVISOR/OWNER
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Name | HASSAN HASSAN
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Credential | PHARMD
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Telephone | 716-316-5540
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 034578
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License Number State | NY
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