{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ROSENKRANS PHARMACY INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 188",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MIDDLEPORT",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "14105-0188",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "716-735-3261",
"MailingAddressFaxNumber": "716-735-3351",
"FirstLinePracticeLocationAddress": "526 MAIN ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MEDINA",
"PracticeLocationAddressStateName": "NY",
"PracticeLocationAddressPostalCode": "14103-1421",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "585-798-1650",
"PracticeLocationAddressFaxNumber": "585-798-9632",
"EnumerationDate": "10/20/2023",
"LastUpdateDate": "10/20/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GIROUX",
"AuthorizedOfficialFirstName": "ZACHARY",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CHIEF FINANCIAL OFFICER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "716-260-1131",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "3336L0003X",
"TaxonomyName": "Long Term Care Pharmacy",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}