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General NPI Number Information
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NPI Number | 1689989782
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Entity Type | Organization
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Legal Business Name | MAIN STREET PHARMACY 4 LLC
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Dates
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Enumeration Date | 08/12/2010
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Last Update Date | 08/23/2011
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Provider Practice Location Address
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Address Line | 166 W BROAD ST
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City | STAMFORD
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State | CT
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Zip | 06902-3661
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Country | US
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Telephone | 203-870-9902
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Fax | 203-870-9903
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Provider Business Mailing Address
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Address Line | 166 W BROAD ST SUITE# G1
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City | STAMFORD
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State | CT
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Zip | 06902-3661
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Country | US
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Telephone | 203-883-8700
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Fax | 203-883-8702
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Authorized Official
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Title or Position | OWNER
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Name | JEAN JACOB
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Credential |
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Telephone | 203-870-9902
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 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 #3
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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 #4
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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 #5
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PCY.0002185
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License Number State | CT
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