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General NPI Number Information
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NPI Number | 1689678138
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Entity Type | Organization
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Legal Business Name | JIM & PHIL'S FAMILY PHARMACY LTD.
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Dates
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Enumeration Date | 06/10/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 6109 5TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11220-4609
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Country | US
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Telephone | 718-492-0900
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Fax |
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Provider Business Mailing Address
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Address Line | 6109 5TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11220-4609
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Country | US
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Telephone | 718-492-0900
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Fax |
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Authorized Official
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Title or Position | REGISTERED PHARRMACIST, & CEO
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Name | MRS. JAMES R. SCHIFFER
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Credential | R.PH. J.D.
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Telephone | 718-492-0900
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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 | 16426
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License Number State | NY
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