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General NPI Number Information
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NPI Number | 1699780098
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Entity Type | Organization
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Legal Business Name | CHARMAR INC
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 03/05/2013
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Provider Practice Location Address
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Address Line | 2253 3RD AVE 3RD FL
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City | NEW YORK
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State | NY
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Zip | 10035-2206
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Country | US
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Telephone | 212-289-1821
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Fax | 212-289-9470
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Provider Business Mailing Address
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Address Line | 2253 3RD AVE 3RD FL
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City | NEW YORK
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State | NY
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Zip | 10035-2206
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Country | US
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Telephone | 212-289-1821
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Fax | 212-289-9470
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CHARLES LUNDBERG
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Credential | R.PH.
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Telephone | 718-822-1348
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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 | 019085
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License Number State | NY
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