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General NPI Number Information
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NPI Number | 1649894940
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Entity Type | Organization
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Legal Business Name | DAISYS PHARMACY CORP
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Dates
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Enumeration Date | 06/02/2020
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Last Update Date | 04/13/2022
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Provider Practice Location Address
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Address Line | 1670 COMMONWEALTH AVE
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City | BRIGHTON
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State | MA
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Zip | 02135-5601
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Country | US
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Telephone | 845-664-2220
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Fax |
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Provider Business Mailing Address
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Address Line | 1670 COMMONWEALTH AVE
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City | BRIGHTON
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State | MA
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Zip | 02135-5601
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Country | US
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Telephone | 617-206-3233
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | NIRAV DESAI
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Credential |
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Telephone | 212-234-1800
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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 |
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License Number State |
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