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General NPI Number Information
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NPI Number | 1649707647
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Entity Type | Organization
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Legal Business Name | CDSRX, LLC
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Dates
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Enumeration Date | 05/22/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3 GEDDES STREET EXT
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City | HOLLEY
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State | NY
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Zip | 14470-1122
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Country | US
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Telephone | 585-638-5499
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Fax | 585-638-6149
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Provider Business Mailing Address
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Address Line | 3 GEDDES STREET EXT
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City | HOLLEY
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State | NY
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Zip | 14470-1122
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Country | US
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Telephone | 585-638-5499
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Fax | 585-638-6149
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | LUCAS J MILLER
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Credential |
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Telephone | 585-638-5499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 033281
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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