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General NPI Number Information
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NPI Number | 1639287485
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Entity Type | Organization
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Legal Business Name | OHM DRUG CORP
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 97-30 64 ROAD
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City | REGO PARK
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State | NY
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Zip | 11374-2233
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Country | US
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Telephone | 718-459-2400
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Fax | 718-459-4011
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Provider Business Mailing Address
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Address Line | 97-30 64 ROAD
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City | REGO PARK
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State | NY
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Zip | 11374-2233
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Country | US
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Telephone | 718-459-2400
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Fax | 718-459-4011
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Authorized Official
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Title or Position | SUPERVISING PHARMACIST
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Name | MRS. SHARMILA J CHHUGANI
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Credential | BPHARMACY
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Telephone | 718-459-2400
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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 | 027512
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License Number State | NY
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