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General NPI Number Information
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NPI Number | 1669513602
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Entity Type | Organization
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Legal Business Name | WING ON PHARMACY, INC.
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Dates
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Enumeration Date | 02/11/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 18 E BROADWAY
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City | NEW YORK
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State | NY
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Zip | 10002-6803
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Country | US
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Telephone | 212-219-2717
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Fax |
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Provider Business Mailing Address
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Address Line | 18 E BROADWAY
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City | NEW YORK
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State | NY
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Zip | 10002-6803
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Country | US
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Telephone | 212-219-2717
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. KAIWING LIU
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Credential |
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Telephone | 212-219-2717
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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 | 019881
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License Number State | NY
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