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General NPI Number Information
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NPI Number | 1659352896
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Entity Type | Organization
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Legal Business Name | ALJAN PHARMACY CORP
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Dates
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Enumeration Date | 11/06/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 604 UNION BLVD
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City | WEST ISLIP
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State | NY
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Zip | 11795-3113
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Country | US
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Telephone | 631-661-6166
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Fax | 631-661-6175
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Provider Business Mailing Address
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Address Line | 604 UNION BLVD
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City | WEST ISLIP
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State | NY
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Zip | 11795-3113
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Country | US
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Telephone | 631-661-6166
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Fax | 631-661-6175
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Authorized Official
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Title or Position | OWNER , PHARMACIST
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Name | MR. DAVID J VOLPI
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Credential | BS PHARMACY
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Telephone | 631-661-6166
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 010969
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License Number State | NY
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