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General NPI Number Information
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NPI Number | 1649957937
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Entity Type | Organization
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Legal Business Name | EJ UNITED PHARMACY INC
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Dates
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Enumeration Date | 06/29/2023
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Last Update Date | 06/29/2023
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Provider Practice Location Address
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Address Line | 3910 MAIN ST STE 305
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City | FLUSHING
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State | NY
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Zip | 11354-5656
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Country | US
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Telephone | 917-306-1573
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Fax |
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Provider Business Mailing Address
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Address Line | 15 FLOWERHILL PL
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City | PORT WASHINGTON
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State | NY
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Zip | 11050-3608
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | YINGYING SHI
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Credential |
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Telephone | 917-306-1573
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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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