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General NPI Number Information
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NPI Number | 1710558168
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Entity Type | Organization
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Legal Business Name | LEMED PHARMACY BUFFALO LLC
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Dates
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Enumeration Date | 07/07/2021
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Last Update Date | 11/01/2021
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Provider Practice Location Address
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Address Line | 1091 MAIN ST STE 110
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City | BUFFALO
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State | NY
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Zip | 14209-2305
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Country | US
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Telephone | 347-913-4656
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Fax |
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Provider Business Mailing Address
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Address Line | 2417 3RD AVE STE 406
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City | BRONX
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State | NY
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Zip | 10451-6340
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Country | US
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Telephone | 716-954-8877
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | SHALEEN PATEL
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Credential |
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Telephone | 347-913-4656
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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 |
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License Number State |
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Taxonomy #2
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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 |
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