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General NPI Number Information
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NPI Number | 1689851149
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Entity Type | Organization
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Legal Business Name | DNT DRUGS LLC
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Dates
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Enumeration Date | 01/28/2008
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Last Update Date | 04/16/2010
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Provider Practice Location Address
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Address Line | 124 E MAIN ST STE 103
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City | BABYLON
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State | NY
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Zip | 11702-3532
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Country | US
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Telephone | 631-482-1160
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Fax | 631-482-1159
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Provider Business Mailing Address
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Address Line | 124 E MAIN ST STE 103
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City | BABYLON
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State | NY
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Zip | 11702-3532
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Country | US
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Telephone | 631-482-1160
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Fax | 631-482-1159
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Authorized Official
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Title or Position | MEMBER
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Name | DENIS LIPOVAC
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Credential | RPH
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Telephone | 631-482-1160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 028802
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License Number State | NY
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