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General NPI Number Information
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NPI Number | 1679266324
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Entity Type | Organization
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Legal Business Name | HEMPSTEAD CHEMIST INC.
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Dates
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Enumeration Date | 05/30/2023
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Last Update Date | 06/26/2023
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Provider Practice Location Address
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Address Line | 86 N FRANKLIN ST
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City | HEMPSTEAD
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State | NY
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Zip | 11550-3021
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Country | US
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Telephone | 516-292-2424
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Fax | 516-292-2442
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Provider Business Mailing Address
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Address Line | 86 N FRANKLIN ST
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City | HEMPSTEAD
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State | NY
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Zip | 11550-3021
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Country | US
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Telephone | 516-292-2424
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Fax | 516-292-2442
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Authorized Official
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Title or Position | SUPERVISING PHARMACIST/OWNER
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Name | DR. MICHAEL KANDCHOROV
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Credential | RPH
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Telephone | 347-567-5058
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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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 | 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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Taxonomy #3
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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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