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General NPI Number Information
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NPI Number | 1710325121
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Entity Type | Organization
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Legal Business Name | STANLEY'S PHARMACY
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Dates
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Enumeration Date | 06/07/2013
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Last Update Date | 06/07/2013
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Provider Practice Location Address
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Address Line | 31 LUDLOW ST
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City | NEW YORK
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State | NY
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Zip | 10002-6304
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Country | US
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Telephone | 646-476-9622
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Fax |
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Provider Business Mailing Address
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Address Line | 31 LUDLOW ST
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City | NEW YORK
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State | NY
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Zip | 10002-6304
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Country | US
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Telephone | 646-476-9622
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Fax |
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Authorized Official
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Title or Position | SUPERVISING PHARMACIST
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Name | MR. STANLEY GEORGE
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Credential |
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Telephone | 646-476-9622
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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 | 031765
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License Number State | NY
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