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General NPI Number Information
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NPI Number | 1679044648
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Entity Type | Organization
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Legal Business Name | D&S PHARMACY LLC
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Dates
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Enumeration Date | 12/16/2018
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Last Update Date | 02/10/2023
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Provider Practice Location Address
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Address Line | 6471 DRY HARBOR RD
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City | MIDDLE VILLAGE
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State | NY
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Zip | 11379-2392
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Country | US
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Telephone | 718-685-2129
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Fax | 718-685-2866
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Provider Business Mailing Address
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Address Line | 6471 DRY HARBOR RD
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City | MIDDLE VILLAGE
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State | NY
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Zip | 11379-2392
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Country | US
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Telephone | 718-685-2129
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Fax | 718-685-2866
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Authorized Official
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Title or Position | MEMBER
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Name | LEANA S KANDOV
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Credential |
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Telephone | 718-685-2129
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 405300000X
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Taxonomy Name | Prevention Professional
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License Number |
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License Number State |
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Taxonomy #4
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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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