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General NPI Number Information
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NPI Number | 1689610131
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Entity Type | Organization
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Legal Business Name | USS RX INC
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 06/06/2018
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Provider Practice Location Address
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Address Line | 13407 LIBERTY AVE
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City | SOUTH RICHMOND HILL
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State | NY
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Zip | 11419-2354
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Country | US
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Telephone | 718-206-0716
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Fax | 718-206-0578
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Provider Business Mailing Address
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Address Line | 134-07 LIBERTY AVE
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City | RICHMOND HILL
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State | NY
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Zip | 11419
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Country | US
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Telephone | 718-206-0716
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Fax | 718-206-0578
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Authorized Official
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Title or Position | OWNER SUVP PHRM
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Name | VISHWANATHAM CHIKOTI
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Credential |
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Telephone | 718-206-0716
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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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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 027639
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License Number State | NY
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