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General NPI Number Information
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NPI Number | 1730281072
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Entity Type | Organization
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Legal Business Name | LM DRUG CORP
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Dates
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Enumeration Date | 09/05/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1987 STATE ROUTE 52 STE 3
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City | LIBERTY
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State | NY
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Zip | 12754-8316
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Country | US
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Telephone | 845-292-8200
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Fax | 845-292-9083
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Provider Business Mailing Address
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Address Line | 1987 STATE ROUTE 52 STE 3
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City | LIBERTY
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State | NY
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Zip | 12754-8316
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER PHARMACIST
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Name | LISA A BAUMANDER
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Credential | RPH
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Telephone | 845-292-8200
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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 | 024129
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License Number State | NY
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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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