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General NPI Number Information
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NPI Number | 1629204367
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Entity Type | Organization
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Legal Business Name | AMITH & ADITH PHARMACY INC
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Dates
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Enumeration Date | 06/09/2009
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Last Update Date | 04/07/2011
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Provider Practice Location Address
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Address Line | 378 LAFAYETTE AVE
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City | BROOKLYN
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State | NY
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Zip | 11238-1472
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Country | US
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Telephone | 718-623-8930
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Fax | 718-623-8914
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Provider Business Mailing Address
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Address Line | 32 LINDEN BLVD
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City | HICKSVILLE
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State | NY
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Zip | 11801-5936
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Country | US
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Telephone | 718-623-8930
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Fax | 718-623-8914
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Authorized Official
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Title or Position | OWNER/SUPERVISING PHARMACIST
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Name | ANUGU REDDY
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Credential |
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Telephone | 718-623-8930
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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 | 029683
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License Number State | NY
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