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General NPI Number Information
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NPI Number | 1699176396
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Entity Type | Organization
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Legal Business Name | WESTCHESTER COMPOUNDING PHARMACY, INC.
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Dates
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Enumeration Date | 09/12/2014
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Last Update Date | 09/12/2014
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Provider Practice Location Address
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Address Line | 274 WHITE PLAINS RD
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City | EASTCHESTER
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State | NY
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Zip | 10709-4419
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Country | US
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Telephone | 914-200-1222
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Fax | 914-337-2524
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Provider Business Mailing Address
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Address Line | 274 WHITE PLAINS RD
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City | EASTCHESTER
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State | NY
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Zip | 10709-4419
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Country | US
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Telephone | 914-200-1222
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Fax | 914-337-2524
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Authorized Official
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Title or Position | SUPERVISOR
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Name | DR. NICHOLAS TRIKOUNAKIS
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Credential | PHARM.D.
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Telephone | 914-200-1222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number | 032859
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License Number State | NY
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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 | 032859
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License Number State | NY
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