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General NPI Number Information
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NPI Number | 1720803604
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Entity Type | Organization
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Legal Business Name | PURECARE PHARMACY CORP
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Dates
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Enumeration Date | 11/18/2024
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 8409 5TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11209-4709
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Country | US
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Telephone | 347-492-0211
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Fax | 347-492-0085
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Provider Business Mailing Address
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Address Line | 8409 5TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11209-4709
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Country | US
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Telephone | 347-492-0211
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Fax | 347-492-0085
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Authorized Official
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Title or Position | PHARMACIST
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Name | AHMED NASSER
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Credential | PHARMACIST
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Telephone | 419-329-8825
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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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