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General NPI Number Information
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NPI Number | 1669366670
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Entity Type | Organization
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Legal Business Name | PERSONALIZED PRESCRIPTIONS INC.
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 60 E INDUSTRY CT STE 1B
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City | DEER PARK
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State | NY
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Zip | 11729-4714
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Country | US
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Telephone | 631-940-8880
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Fax | 631-940-8770
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Provider Business Mailing Address
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Address Line | 60 E INDUSTRY CT STE 1B
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City | DEER PARK
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State | NY
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Zip | 11729-4714
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Country | US
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Telephone | 631-940-8880
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Fax | 631-940-8770
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | GENE PULLO
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Credential |
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Telephone | 631-940-8880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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