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General NPI Number Information
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NPI Number | 1649723909
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Entity Type | Organization
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Legal Business Name | I.C. PHARMACY LLC
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Dates
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Enumeration Date | 08/03/2016
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 34 35TH ST SUITE 4BSW, MAILBOX 28
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City | BROOKLYN
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State | NY
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Zip | 11232
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Country | US
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Telephone | 347-554-2663
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Fax | 347-223-5966
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Provider Business Mailing Address
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Address Line | 34 35TH ST STE 4BSW
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City | BROOKLYN
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State | NY
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Zip | 11232-2021
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Country | US
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Telephone | 855-745-5725
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Fax | 603-935-9108
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | TANVI JAYANTI PATEL
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Credential |
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Telephone | 855-745-5725
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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 |
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License Number State |
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