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General NPI Number Information
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NPI Number | 1679314009
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Entity Type | Organization
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Legal Business Name | SKYLA RX INC
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Dates
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Enumeration Date | 05/31/2024
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Last Update Date | 05/31/2024
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Provider Practice Location Address
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Address Line | 1268 HEMPSTEAD TPKE
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City | ELMONT
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State | NY
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Zip | 11003-1144
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Country | US
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Telephone | 516-270-3746
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Fax | 516-270-3224
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Provider Business Mailing Address
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Address Line | 1268 HEMPSTEAD TPKE
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City | ELMONT
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State | NY
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Zip | 11003-1144
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Country | US
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Telephone | 516-270-3746
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Fax | 516-270-3224
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Authorized Official
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Title or Position | OWNER
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Name | KATERYNA BALABEI
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Credential |
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Telephone | 516-270-3746
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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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