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General NPI Number Information
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NPI Number | 1700289980
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Entity Type | Organization
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Legal Business Name | CHEMIST CORNER INC.
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Dates
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Enumeration Date | 10/02/2014
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Last Update Date | 10/02/2014
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Provider Practice Location Address
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Address Line | 59 ROUTE 59
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City | MONSEY
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State | NY
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Zip | 10952-3536
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Country | US
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Telephone | 845-425-3400
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Fax | 845-213-4130
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Provider Business Mailing Address
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Address Line | 59 ROUTE 59
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City | MONSEY
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State | NY
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Zip | 10952-3536
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Country | US
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Telephone | 845-425-3400
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Fax | 845-213-4130
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ISRAEL GOTTLIEB
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Credential |
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Telephone | 718-598-6721
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 032790
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License Number State | NY
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