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NPI 1740675362

NPI 1740675362 : SPECIALTY RX HOME MEDS INC : SYOSSET, NY

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General NPI Number Information
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    NPI Number           |    1740675362
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    Entity Type          |    Organization 
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    Legal Business Name  |    SPECIALTY RX HOME MEDS INC 
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Dates
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    Enumeration Date     |    03/31/2015
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    Last Update Date     |    07/25/2025
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Provider Practice Location Address
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    Address Line         |    575 UNDERHILL BLVD STE 120 
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    City                 |    SYOSSET
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    State                |    NY
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    Zip                  |    11791-3416
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    Country              |    US
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    Telephone            |    516-921-1507
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2 BERGEN TPKE 
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    City                 |    RIDGEFIELD PARK
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    State                |    NJ
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    Zip                  |    07660-2390
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    Country              |    US
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    Telephone            |    908-241-6337
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    Fax                  |    908-634-4038
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. JOEL  ZUPNICK 
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    Credential           |    
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    Telephone            |    908-241-6337
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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        |    3336L0003X
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    Taxonomy Name        |    Long Term Care Pharmacy
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    License Number       |    
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    License Number State |    
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