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General NPI Number Information
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NPI Number | 1659646966
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Entity Type | Organization
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Legal Business Name | MEERAJ PHARMACY INC.
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Dates
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Enumeration Date | 03/20/2012
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Last Update Date | 09/19/2012
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Provider Practice Location Address
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Address Line | 11517 LIBERTY AVE
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City | RICHMOND HILL
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State | NY
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Zip | 11419-1901
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Country | US
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Telephone | 718-641-4400
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Fax | 718-641-4401
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Provider Business Mailing Address
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Address Line | 11517 LIBERTY AVE
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City | RICHMOND HILL
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State | NY
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Zip | 11419-1901
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Country | US
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Telephone | 718-641-4400
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Fax | 718-641-4401
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Authorized Official
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Title or Position | SUPERVISING PHARMACIST
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Name | MRS. IQRA KHAN
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Credential | PHARM D.
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Telephone | 718-641-4400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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