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General NPI Number Information
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NPI Number | 1700268455
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Entity Type | Organization
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Legal Business Name | NOSTRAND RX INC
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Dates
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Enumeration Date | 06/18/2015
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Last Update Date | 04/25/2017
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Provider Practice Location Address
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Address Line | 524 NOSTRAND AVE
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City | BROOKLYN
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State | NY
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Zip | 11216-2012
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Country | US
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Telephone | 718-230-3009
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Fax | 718-230-3110
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Provider Business Mailing Address
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Address Line | 524 NOSTRAND AVE
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City | BROOKLYN
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State | NY
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Zip | 11216-2012
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Country | US
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Telephone | 718-230-3009
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Fax | 718-230-3110
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | RASIK PATEL
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Credential | RPH, PHARM D
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Telephone | 718-230-3009
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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 |
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License Number State | NY
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