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NPI 1720791064

NPI 1720791064 : CITI CARE PHARMACY INC. : BELLEROSE, NY

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General NPI Number Information
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    NPI Number           |    1720791064
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    Entity Type          |    Organization 
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    Legal Business Name  |    CITI CARE PHARMACY INC. 
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Dates
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    Enumeration Date     |    01/02/2023
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    Last Update Date     |    02/12/2026
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Provider Practice Location Address
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    Address Line         |    24119 BRADDOCK AVE 
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    City                 |    BELLEROSE
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    State                |    NY
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    Zip                  |    11426-1150
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    Country              |    US
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    Telephone            |    718-470-2043
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    Fax                  |    718-413-5084
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Provider Business Mailing Address
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    Address Line         |    24119 BRADDOCK AVE 
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    City                 |    BELLEROSE
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    State                |    NY
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    Zip                  |    11426-1150
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    Country              |    US
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    Telephone            |    718-470-2043
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    Fax                  |    718-413-5084
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     MUHAMMAD ATIF ISHTIAQ 
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    Credential           |    
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    Telephone            |    718-470-2043
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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 |    
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